Free Ureter Quick Reference Card.

your free quick reference card is designed for smart easy study of the ureter injuries.

Three out of four ureteric injuries at hysterectomy are not recognised during the operation (Kiran et al., BJOG 2016, n=377,073). Almost all of them happen in one of three predictable places.

This one-page card maps all three, so you can review it in 15 minutes before a theatre list, a viva or your MRCOG exam.

What's on the card

• The three danger zones: the pelvic brim, under the uterine artery ("water under the bridge") and the ureterovesical junction. For each one: the anatomy, what puts the ureter at risk, and how to prevent injury.

• The blood supply rule: which side of the ureter to preserve above and below the uterine artery crossing.

• Three non-negotiable rules, one for before, during and after complex pelvic surgery.

• The management pathway: intraoperative detection, early injury in the first 72 hours, and late ureterovaginal fistula.

• Repair by level: from ureteroneocystostomy to psoas hitch and Boari flap.

• The key numbers examiners expect you to quote.

Who it's for: MRCOG Part 2 and 3 candidates, MD students and practising gynaecological surgeons.

Format: a single A4 PDF page you can print or keep on your phone.

It's taken from Module 5 of Applied Surgical Anatomy of OB/GYN by Dr Ekram Ghazal, Consultant Obstetrician and Gynaecologist.

For education only. It does not replace local protocols or individual clinical judgement.