What is the anatomy of the renal system and pelvis relevant to ureteral injury?

Updated: Nov 12, 2020
  • Author: Sandip P Vasavada, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

The relevant anatomy of the ureter is shown in the images below. Note the close proximity of the distal ureter to the uterine vessels. This is the site where injuries most commonly occur during gynecologic procedures. The next most commonly injured area is at the pelvic brim, in the area of the infundibulopelvic ligament.

Relevant anatomy of the ureter, illustrating its c Relevant anatomy of the ureter, illustrating its course from the renal pelvis to the bladder. Note the ureter's proximity at the pelvic brim to the infundibulopelvic ligament.
Relevant anatomy of the ureter. Notice the proximi Relevant anatomy of the ureter. Notice the proximity of the ureter to the uterine vessels at the level of the cervix. Most ureteral injuries following gynecologic surgery occur in this area.

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