Case Study: Ureter Damage After Surgery

£25,000 compensation

JMW has successfully obtained a £25,000 settlement for a woman after her ureter was damaged during surgery.

Lucy, 47, from Cambridge, attended her GP and was referred to a gynaecologist after complaining of heavy painful periods. A diagnosis of multiple fibroids was made and after considering the options she elected to have a total abdominal hysterectomy and removal of the ovaries. During examination she was also found to have some ulceration in the upper part of the vagina.

During the operation the bladder was found to be adherent to the front of the cervix and during dissection it was damaged. A consultant urologist was called to repair the bladder. In order to remove the ulcerated area from the top of the vagina, it was necessary to remove a ‘cuff' of vaginal tissue and insert several sutures to prevent any bleeding.

Bilateral hydronephrosis following surgery

Post-operatively Lucy was generally unwell and a renal ultrasound revealed bilateral hydronephrosis (a backflow of urine into the kidneys). Nephrostomy tubes were inserted to drain the kidneys. Six days later, following further investigations, it was discovered that although the left ureter was now functioning normally, the right one was severely obstructed. The surgeon attempted, via cystoscopy, to insert a stent to dilate the narrowed tube, but this was unsuccessful.

A suture on the right side of the bladder wall involving the ureteric orifice was discovered but was impossible to remove. An abdominal incision was made and the ureter reimplanted into the bladder wall with a stent to avoid further obstruction. The stent was removed 2 months later.

Slow recovery and an incisional hernia

Lucy remained in hospital for 3 weeks longer than anticipated and made a slow recovery. She developed an incisional hernia that caused pain and discomfort and prevented her from seeking employment or resuming her domestic and leisure activities in full. She underwent repair of the hernia 6 months later.

JMW Solicitors alleged that it was during the removal of the ulcerated area from the vaginal vault that the right ureteric orifice was occluded by a suture. Because of the proximity of the ureters to the upper vagina it is considered unsafe to excise a ‘cuff' of vagina before first exposing the ureters right down to the bladder.

The defendant admitted liability and following negotiations the case was settled and Lucy received £25,000 compensation.

Have you also suffered ureter damage through medical negligence?

If you have been left with ureter damage following surgery, and it has left you with lasting medical issues and discomfort, we can claim compensation on your behalf.

To find out more about your chances of claiming compensation call us now on 0800 054 6512, or complete our online enquiry form and one of our solicitors will call you back.

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