Materials and Methods: In total, 135 malignant cases operated on in the Gynecological Oncology clinic of Çam and Sakura City Hospital between December 2022 and April 2024 were retrospectively examined. Management of urological complications was carried out together with the urology clinic.

Results: A total of 10 urological complications developed in nine patients during the 16-month period. All of them were seen in surgeries performed by laparotomy. Four of the patients who underwent major oncological surgery had bladder damage, and the other four had ureter damage. In one patient, both bladder and ureter damage were observed. Eighty percent of complications were diagnosed intraoperatively. Bladder injuries developed during dissection and ureter injuries, which generally occurred during energy use and ligation. While damage to the bladder and mid-ureter was primarily repaired, a more difficult procedure such as ureteroneocystostomy was performed for distal ureter injuries. Defects in the bladder trigone were also difficult to treat.

Conclusion: The female genital and urinary systems, which are in close proximity to each other, make them prone to urinary complications during gynecological surgeries. Due to the nature of oncological surgery, the disrupted anatomy and the different biology of tumor cells may increase these complication rates. Therefore, every surgeon dealing with gynecological oncology must be familiar with urological anatomy and master the management of complications.