Abstract
Objective: To increase knowledge about the risks of urological complications with a focus on ureteral injuries associated with performing total abdominal hysterectomy. Bibliographic review: Hysterectomy is the second most performed gynecological surgery in women of reproductive age, second only to cesarean section. This procedure has several indications and among them are abnormal uterine bleeding and the presence of leiomyomas. Hysterectomy is associated with a series of complications, most of which have low morbidity and mortality. One of these complications is the involvement of the urinary tract, especially those associated with the ureter and the bladder, due to the close anatomical relationships of these structures with the uterus. Although infrequent, when they occur, they can even lead to renal failure requiring nephrectomy of the affected kidney. Final considerations: The study suggests the need to regulate the isolation of the ureter in abdominal surgeries, especially in gynecological surgeries, thus avoiding the occurrence of trauma to this structure.