{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:57:11Z","timestamp":1777687031430,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,8,18]],"date-time":"2015-08-18T00:00:00Z","timestamp":1439856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the rates of ureteric injury among women undergoing hysterectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>English National Health Service hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women undergoing hysterectomy in 2001\u20132010.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Unadjusted rates of ureteric injury, within 1\u00a0year of hysterectomy, calculated by indication and type of procedure. Multivariable logistic regression used to assess the risk of ureteric injury with year of surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Ureteric injury within a year of the hysterectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2001\u20132010, 377\u00a0073 women underwent hysterectomy, of whom 1792 (0.5%) experienced a ureteric injury. In both benign and malignant groups the rate of injury was higher in 2006\u20132010 than 2001\u20132005. After 2006, ureteric injuries were most common for abdominal radical hysterectomy for uterine cancer (10.7%; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 7.3\u201315.1%). The proportion of women having a ureteric injury was similar for ovarian and cervical cancer (1.9\u20134.0% depending on type of procedure). For benign conditions, the rate of injury tended to be lower, typically &lt;1%. Women with endometriosis had the highest risk among this group (1.7% following total abdominal hysterectomy; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.4\u20132.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The risk of ureteric injury within 1\u00a0year of hysterectomy varied by type of hysterectomy for benign and malignant conditions. The rates of injury have increased between 2001 and 2010.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Ten\u2010year study shows ureteric injury rates have increased.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.13576","type":"journal-article","created":{"date-parts":[[2015,8,18]],"date-time":"2015-08-18T08:03:08Z","timestamp":1439884988000},"page":"1184-1191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["The risk of ureteric injury associated with hysterectomy: a 10\u2010year retrospective cohort study"],"prefix":"10.1111","volume":"123","author":[{"given":"A","family":"Kiran","sequence":"first","affiliation":[{"name":"Department of Health Services Research and Policy London School of Hygiene &amp; Tropical Medicine London UK"},{"name":"Lindsay Stewart Centre for Audit and Clinical Informatics Royal College of Obstetricians and Gynaecologists London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Hilton","sequence":"additional","affiliation":[{"name":"Directorate of Women's Services Royal Victoria Infirmary Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DA","family":"Cromwell","sequence":"additional","affiliation":[{"name":"Department of Health Services Research and Policy London School of Hygiene &amp; Tropical Medicine London UK"},{"name":"Lindsay Stewart Centre for Audit and Clinical Informatics Royal College of Obstetricians and Gynaecologists London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.04978.x"},{"key":"e_1_2_6_3_1","first-page":"1527","volume-title":"Incontinence \u2013 ICUD\u2010EAU 5th International Consultation on Incontinence","author":"Ridder D","year":"2013"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.05.058"},{"key":"e_1_2_6_5_1","unstructured":"Hospital Episode Statistics (database on the Internet). 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