Urinary Tract Injury - UTI Medical Negligence Compensation Claim Solicitors


Prior to discussing the side effects of a hysterectomy, it is important to know the exact definition of the term. A hysterectomy is the surgical removal of the uterus, but it does not always include removal of the ovaries and fallopian tubes.

This procedure is considered as major surgery with life threatening implications even when carried out using minimally invasive keyhole surgery (laparoscopy) with access through the vagina. The potential for medical negligence is high with one of the most common errors relating to damage to the urinary tract specifically injury caused accidentally to the ureters. There are other less common injuries caused by medical negligence many of which may give rise to solicitors legal action to claim compensation. If you would like advice from a specialist medical negligence solicitor just use the helpline or contact our offices by email. There is no charge for our advice and you are under no further obligation to use our services. Our solicitors operate on a no win no fee* basis.

Women who require a hysterectomy are usually suffering severe abdominal pain from fibroids, as well as unusual or exceptionally heavy vaginal bleeding. A hysterectomy can sometimes even be a life-saving surgical procedure. However, if the woman contracts a urinary tract infection or injury during or after the procedure, then further treatment, either with drugs or, occasionally, another operation, is required.

Surgical Procedures

There are several different ways to perform a hysterectomy. In the past, the only possible method of performing a hysterectomy was to cut through the abdominal wall to remove the uterus. However, modern methods and technologies have made the vaginal hysterectomy more common due to the greatly reduced recovery time, as it involves removal of the uterus via the natural pathway provided by the vaginal canal. Another method is the laparoscopic vaginal technique. Different methods are utilized depending on the actual condition being treated. For instance, it is very difficult to remove a uterus with large fibroids via the vaginal method.

Surgical Complications

Complications during surgery can occur with any of the methods of uterine removal, and these may include serious conditions like infection, adhesions, bleeding and injuries to the bladder, ureter and the urethra. While laparoscopic vaginal hysterectomy procedures seem to have many advantages over the traditional abdominal hysterectomy, statistics show this form of hysterectomy also appears to be more likely to lead to urinary tract injury complications. This can be due to several different factors :

    The close anatomical proximity of the urinary tract to the uterus means there is a greater possibility of injury during pelvic surgery.

    Urinary tract injuries can occur during both obstetric (birth of a baby) and gynecological surgical procedures.

    The ureter is the tube from the kidney to the bladder. Damage to this tube is a very serious complication, which requires emergency surgery to repair. The problem is twofold in that the breach of the ureter can be one cause of urinary tract injury, and the other is the risks involved in having two surgical procedures consecutively enhances the possibility of infection.

    The urethra is the tube from the bladder to the exterior of the body. Surgical damage to this delicate tube will almost certainly create ideal conditions for a urinary tract infection.

    Bladder atony (paralysis) or atonia (devoid of strength) is another cause of urinary tract infection, as the bladder is not voiding (emptying) completely. Atony, in particular, can lead to a complete inability to pass urine. Voiding difficulties can last from a few hours to many months. If either of these predicaments endure for longer than 3 months, it is unlikely the situation will improve without medical treatment. Direct injury to the bladder is a serious complication and usually requires further surgery to repair the problem, which, in turn, leads to greater chance of post-hysterectomy infection.

    Urinary incontinence is a common complication of hysterectomy and can last for some time. It may require further surgery to repair the problem.


Surgical errors can cause urinary tract infection and/or injury during and just after a hysterectomy procedure, but infections can also appear well after the surgery takes place due to problems with bladder strength. Infection is also possible as a result of subsequent surgery to repair urinary tract injury sustained in the original hysterectomy operation.


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The author of the substantive medical writing on this website is Dr. Christine Traxler MD whose biography can be read here