Vaginal mesh fixed by transobturator tape can lead to ureteral injury in cystocele surgery

The lower third ureteral injuries are not rare during pelvic surgeries. We report for the first time a case of ureteral injury during a transvaginal cure of an anterior vaginal wall prolapse with a synthetic mesh, whose the four arms are fixed by transobturator way. This lesion is itself included in the lesions of the low urinary tract during vaginal surgery with transobturator tape. The difficult diagnosis of these iatrogenic injuries must be carried early in order to decrease their morbidity and in the case of ureteral injury to preserve the nephrogenic capital.