Abstract
The proximity of the colon and rectum to the organs of the urologic system virtually
ensures that iatrogenic urologic injuries become a distinct possibility during complex
colorectal surgical procedures. An intimate knowledge of urogenital anatomy as well
as strategies for identification and repair of potential injuries is of paramount
importance. Attention is mandated when operating within the narrow confines of the
pelvis, as this is where these structures are most at risk. The ureters are at highest
risk of injury, followed by the bladder and urethra. The nature of these injuries
encompasses both functional and mechanical morbidities. Patient factors, including
prior pelvic surgery, radiation, inflammatory bowel disease, infectious processes,
and urogenital abnormalities all increase the risk of injury. As colorectal surgeons
encounter an increasing number of patients with the above risk factors, it is important
to be familiar with the various urologic injury patterns, their diagnosis, and appropriate
management.
Keywords
iatrogenic injury - ureter - bladder - urethra - colorectal surgery
