title: Routine use of ureteric catheters at laparoscopic hysterectomy may cause unnecessary complications.
abstract: OBJECTIVE
  To test the use of ureteric catheters in preventing ureteric trauma during laparoscopic hysterectomy.
  
  
  METHODS
  Prospective study of 492 consecutive women.
  
  
  METHODS
  Pelosi Women's Medical Center, New Jersey, and Cliveden Hill Private Hospital, Melbourne, Australia.
  
  
  METHODS
  Four hundred ninety-two consecutive women.
  
  
  METHODS
  Laparoscopic hysterectomy was performed in all women. Because of the reported increased risk of ureteric trauma during laparoscopic hysterectomy, we passed ureteric catheters in 92 such procedures and ceased the practice with the last 400 when further reports suggested lack of increased risk.
  
  
  RESULTS
  Oliguria and anuria occurred in 7 of 92 patients having ureteric catheterization. No ureteric trauma occurred in 400 patients without ureteric catheterization. The injury rate in this series was significantly lower than in three other series of abdominal hysterectomy.
  
  
  CONCLUSIONS
  As long as surgical techniques incorporate various procedures to avoid ureteric injury, routine ureteric catheterization during laparoscopic hysterectomy is not indicated and may result in unnecessary complications.
authors.affiliation: Pelosi Women's Medical Center, Bayonne, New Jersey, USA.
authors.forename: E C
authors.initials: EC
authors.lastname: Wood
authors.forename: P
authors.initials: P
authors.lastname: Maher
authors.forename: M A
authors.initials: MA
authors.lastname: Pelosi
mesh_terms: D001002:Anuria / Q000209:etiology; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D010535:Laparoscopy; D008875:Middle Aged; D009846:Oliguria / Q000209:etiology; D011183:Postoperative Complications; D011446:Prospective Studies; D015607:Stents; D017792:Surgical Stapling; D014513:Ureter; D014546:Urinary Catheterization / Q000379:methods*