{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:19:29Z","timestamp":1787840369110,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"\n Objectives:<\/jats:title>\n As iatrogenic ureteral injury carries a high burden and is associated with increased postoperative morbidity and mortality, the purpose of this study is to determine the incidence and potential risk factors of iatrogenic ureteral injury following common obstetric and gynecological surgeries in King Abdulaziz Medical City.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This was a single-center retrospective cohort study based on data extracted from an electronic hospital information system conducted in King Abdulaziz Medical City, Riyadh, Saudi Arabia. Three thousand four hundred and sixty-four cases of cesarean section (C-section) and hysterectomy from January 1, 2021, to December 31, 2022, were reviewed. All cases of C-section and hysterectomy in which the urology department was consulted for suspected iatrogenic ureteric injuries were included in the study. All cases other than C-sections and hysterectomy in which the urology department was consulted for suspected iatrogenic ureteric injuries were excluded from the study.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 45 patients for whom urology was consulted for suspected ureteral injury were included in this study. Approximately (35.6%) one-third of the patients had positive findings of ureteral injury following common obstetric and gynecological surgeries. About 41.2% of these patients had previous gynecological surgeries. Other potential risk factors were tested such as age and body mass index. Older patients were slightly at higher risk of iatrogenic ureteral injury (\n P<\/jats:italic>\n < 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Ureteral injury in obstetric and gynecological surgeries is rare yet serious complication. The findings of this study suggest that the incidence of iatrogenic ureteral injury was relatively associated with older age.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ua.ua_25_24","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T02:00:09Z","timestamp":1729044009000},"page":"296-300","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Predictors and potential risk factors of iatrogenic ureteral injury following common obstetric and gynecological surgeries: A single-center retrospective study"],"prefix":"10.4103","volume":"16","author":[{"given":"Yahya","family":"Ghazwani","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"Department of Surgery, Division of Urology, Ministry of National Guard \u2013 Health Affairs, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasser","family":"Albogami","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Ministry of National Guard \u2013 Health Affairs, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Aldwaighri","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghassan","family":"Alhajress","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Ministry of National Guard \u2013 Health Affairs, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Alsaghyir","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Ministry of National Guard \u2013 Health Affairs, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Balaraj","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Ministry of National Guard \u2013 Health Affairs, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"key":"R1-20260426","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0301-2115(01)00521-8","article-title":"Management of ureteric injuries during gynecological operations: 10 years experience","volume":"101","author":"Sakellariou","year":"2002","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R2-20260426","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1097\/00003081-197609000-00012","article-title":"Ureteral injuries associated with gynecologic surgery: Prevention and management","volume":"19","author":"Symmonds","year":"1976","journal-title":"Clin Obstet Gynecol"},{"key":"R3-20260426","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1001\/jama.1967.03120020076013","article-title":"Ureteral injuries during surgery. A review of 87 cases","volume":"199","author":"Higgins","year":"1967","journal-title":"JAMA"},{"key":"R4-20260426","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1097\/00003081-199809000-00031","article-title":"Bladder and ureteral injury: Prevention and management","volume":"41","author":"Utrie","year":"1998","journal-title":"Clin Obstet Gynecol"},{"key":"R5-20260426","first-page":"19","article-title":"Injury to the ureter during gynecologic surgical procedures","volume":"167","author":"Daly","year":"1988","journal-title":"Surg Gynecol Obstet"},{"key":"R6-20260426","doi-asserted-by":"crossref","first-page":"895","DOI":"10.2147\/IJWH.S330060","article-title":"A review on the etiology, prevention, and management of ureteral injuries during obstetric and gynecologic surgeries","volume":"13","author":"Ade-Ojo","year":"2021","journal-title":"Int J Womens Health"},{"key":"R7-20260426","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1007\/s00192-017-3483-4","article-title":"Diagnosis and management of 365 ureteric injuries following obstetric and gynecologic surgery in resource-limited settings","volume":"29","author":"Raassen","year":"2018","journal-title":"Int Urogynecol J"},{"key":"R8-20260426","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1016\/S0022-5347(01)66332-8","article-title":"Iatrogenic ureteral injuries: A 20-year experience in treating 165 injuries","volume":"155","author":"Selzman","year":"1996","journal-title":"J Urol"},{"key":"R9-20260426","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1097\/01.OGX.0000097781.79401.0B","article-title":"A review of laparoscopic ureteral injury in pelvic surgery","volume":"58","author":"Ostrzenski","year":"2003","journal-title":"Obstet Gynecol Surv"},{"key":"R10-20260426","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1576\/toag.6.4.203.27016","article-title":"Ureteric injury in obstetric and gynaecological surgery","volume":"6","author":"Jha","year":"2004","journal-title":"Obstet Gynaecol"},{"key":"R11-20260426","doi-asserted-by":"crossref","first-page":"S51","DOI":"10.5489\/cuaj.5936","article-title":"Iatrogenic ureteral injury after gynecological surgery","volume":"13","author":"Smith","year":"2019","journal-title":"Can Urol Assoc J"},{"key":"R12-20260426","doi-asserted-by":"crossref","first-page":"4","DOI":"10.4103\/0974-7796.198838","article-title":"Posthysterectomy ureteric injuries: Presentation and outcome of management","volume":"9","author":"Patil","year":"2017","journal-title":"Urol Ann"},{"key":"R13-20260426","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1186\/s12893-022-01817-3","article-title":"A 6-year retrospective clinical review of iatrogenic ureteric injuries repaired in a resource-deprived setting","volume":"22","author":"Ali","year":"2022","journal-title":"BMC Surg"}],"container-title":["Urology Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_25_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:21:32Z","timestamp":1787836892000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_25_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ua.ua_25_24","relation":{},"ISSN":["0974-7796","0974-7834"],"issn-type":[{"value":"0974-7796","type":"print"},{"value":"0974-7834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-04-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}