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Urinary Tract Injury Following Tubal Ligation

The ureters are the urine tubes that run from the kidney to the bladder. Bladder and ureter injuries are rare with tubal ligation, occurring only 3 to 5 times per 1,000 cases. These include perforation and thermal injuries. In most cases, these injuries are treated with antibiotics and the placement of a plastic tube, called a catheter, into the bladder for 7 to 10 days. Rarely, these injuries require switching to an open operation. This would involve a urologist placing thin tubes, called stents, into the tubes leading away from the bladder, called ureters. This could also result in a repeat laparoscopic surgery at a future time. Sometimes, an injury may not appear at the time of the operation, but may show up later. This may require another surgery to repair the damage.
Last reviewed by: Arthur Schoenstadt, MD
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