Iatrogenic ureteric injuries following hysterectomy: experience of two patients managed in a tertiary care centre

We present our experience of managing two patients in their mid-40s at a tertiary care centre who developed ureterovaginal fistulas post-hysterectomy. Management included bilateral double-J stenting, percutaneous nephrostomy (PCN) and conservative treatment for one patient, whereas the other patient developed recurrent symptoms following PCN, necessitating definitive surgical intervention. Early recognition, timely intervention and individualised management strategies are critical in mitigating long-term complications associated with ureteric injuries following hysterectomy. Both conservative and surgical approaches can be effective depending on the severity of injury and clinical scenario.