Abstract
Although iatrogenic ureteral injuries are uncommon, but continues to poses a great challenge of potencial injuries to the gyanaecologists and young surgeons, especially during difficult abdominal and pelvic surgeries. We present two cases of ureteral injuries in our centre which occurred during challenging gynaecolgical procedures. Extensive abdomino-pelvic adhesions and large pelvic tumours were the main risk factors in the two index cases . Sites of injuries and the risk factors were discussed. Thorough preoperative evaluation in anticipation of iatrogenic injuries, sound knowledge of surgical anatomy with experience, ureteral stenting before the main procedure, meticulous dissections and discouraging blind clamping during bloody procedures among others can prevent such injuries. High index of suspicion is important for early detection of the injuries.
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