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Bladder Injury During Hysterectomy

Learn what bladder injury during hysterectomy may involve, possible symptoms, causes, and what to do if you suspect medical malpractice.

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Written by Dr.Sonia Bhatt

Last updated on 5th Jul, 2025

Introduction

A hysterectomy (surgical removal of the uterus) is a common procedure performed for various medical reasons, such as fibroids, endometriosis, or cancer. While it is generally safe, like any surgery, it carries some risks—one of which is accidental bladder injury. If this happens due to medical negligence, it can lead to complications and prolonged recovery.

What Is a Bladder Injury During Hysterectomy?

During a hysterectomy, the surgeon works near the bladder, which sits just in front of the uterus. Sometimes, due to surgical errors, the bladder can get nicked, cut, or punctured accidentally. While minor injuries may heal on their own, severe cases can lead to infections, urine leakage, or long-term bladder problems.

Symptoms of Bladder Injury After Hysterectomy

If your bladder was injured during surgery, you may experience:

  • Pain or burning sensation while urinating

  • Blood in urine (hematuria)

  • Frequent urge to urinate, but passing little urine

  • Leakage of urine (incontinence)

  • Lower abdominal pain or swelling

  • Fever, chills or signs of infection

If you notice these symptoms after surgery, contact your doctor immediately.

Consult Top Specialists for Personalised Health Advice

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Shyamala Devi, Obstetrician and Gynaecologist

Dr. Shyamala Devi

Obstetrician and Gynaecologist

38 Years • MBBS, MS Obstetrics & Gynaecology

Vijayawada

Sri Shivshakti Nilayam, Vijayawada

1250

300

How Does Bladder Injury Happen During Hysterectomy?

Bladder injuries can occur due to:

1. Surgical error – Inexperienced surgeons or lack of proper technique.

2. Adhesions (scar tissue) – Previous surgeries or infections can make tissues stick together, increasing injury risk.

3. Complex cases – Large fibroids or endometriosis may distort anatomy, making surgery harder.

4. Lack of proper imaging – Not using tools like ultrasound to guide the procedure.

How Does a Bladder Injury Affect Your Health?

If not treated promptly, a bladder injury can lead to:

  • Urinary tract infections or UTIs

  • Chronic pain or discomfort

  • Difficulty in fully emptying the bladder

  • Formation of a fistula, which is an abnormal connection between the bladder and vagina that may cause urine leakage

  • Need for additional surgeries

Tips for Recovery & Prevention

Taking proactive steps after surgery might promote healing and help avoid further issues.

1. Post-Surgery Care

Gentle self-care may ease symptoms and reduce infection risk.

  • Stay hydrated – Helps flush out bacteria and promotes healing.

  • Follow doctor’s instructions – Take prescribed antibiotics to prevent infection.

  • Avoid heavy lifting – Straining can worsen bladder issues.

2. Pelvic Floor Exercises

Kegel exercises can strengthen bladder muscles and improve control.

3. Dietary Adjustments

Your diet might affect bladder health and overall recovery.

  • Avoid caffeine and alcohol, which can irritate the bladder.

  • Eat fibre-rich foods to prevent constipation (straining affects the bladder).

4. Regular Follow-ups

Ensure proper healing with follow-up visits and imaging tests if needed.

When to Seek Help?

If you experience:

  • Severe pain or inability to urinate

  • High fever with foul-smelling urine

  • Continuous urine leakage

Consult a specialist immediately. You can book an appointment with a urologist or gynaecologist through Apollo 24|7 for expert care.

Final Thoughts

A bladder injury during hysterectomy, though rare, can be distressing. Recognising symptoms early and seeking timely medical help can prevent complications. If you suspect malpractice, don’t hesitate to seek a second opinion or legal advice.

Your health matters—stay informed and take proactive steps for a smooth recovery!

Consult Top Gynaecologists

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Shyamala Devi, Obstetrician and Gynaecologist

Dr. Shyamala Devi

Obstetrician and Gynaecologist

38 Years • MBBS, MS Obstetrics & Gynaecology

Vijayawada

Sri Shivshakti Nilayam, Vijayawada

1250

300

Consult Top Specialists for Personalised Health Advice

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Asha Rani Singh, Obstetrician and Gynaecologist

Dr. Asha Rani Singh

Obstetrician and Gynaecologist

24 Years • MBBS DGO

Delhi

Dr Asha Rani Singh Clinic, Delhi

875

Dr. K Anusha, Obstetrician and Gynaecologist

Dr. K Anusha

Obstetrician and Gynaecologist

4 Years • MBBS, DGO

Yemmiganur

SRINIVASAA HOSPITAL, Yemmiganur

200

180

Dr. Shyamala Devi, Obstetrician and Gynaecologist

Dr. Shyamala Devi

Obstetrician and Gynaecologist

38 Years • MBBS, MS Obstetrics & Gynaecology

Vijayawada

Sri Shivshakti Nilayam, Vijayawada

1250

300

Consult Top Gynaecologists

Dr. Mona Yadav, Obstetrician and Gynaecologist

Dr. Mona Yadav

Obstetrician and Gynaecologist

19 Years • MBBS, MD (Obstetrics & Gynaecology)

Dombivli

Nulife multispeciality, Dombivli

700

Dr. Parul Sharma, Obstetrician and Gynaecologist

Dr. Parul Sharma

Obstetrician and Gynaecologist

8 Years • MBBS, MS (Obstetrics & Gynaecology)

New Delhi

THE DOCTORS NESST, New Delhi

1000

800

Dr. Asha Rani Singh, Obstetrician and Gynaecologist

Dr. Asha Rani Singh

Obstetrician and Gynaecologist

24 Years • MBBS DGO

Delhi

Dr Asha Rani Singh Clinic, Delhi

875

Dr. K Anusha, Obstetrician and Gynaecologist

Dr. K Anusha

Obstetrician and Gynaecologist

4 Years • MBBS, DGO

Yemmiganur

SRINIVASAA HOSPITAL, Yemmiganur

200

180

Dr. Shyamala Devi, Obstetrician and Gynaecologist

Dr. Shyamala Devi

Obstetrician and Gynaecologist

38 Years • MBBS, MS Obstetrics & Gynaecology

Vijayawada

Sri Shivshakti Nilayam, Vijayawada

1250

300

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