Surgical method of identifying the ureters during total vaginal hysterectomy.

A surgical method allowing transvaginal ureteral dissection was performed on 40 consecutive patients undergoing vaginal hysterectomy. The dissection was accomplished in 37 of 40 patients (90%) without complications. There was no mortality and morbidity was quite low. It is concluded that transvaginal ureteral dissection can be a useful step during vaginal hysterectomy.