Urinary Tract Injury Following Gynecologic Surgery: Mitigating Risks (The Doctor's Advocate CME)


A recent review of gynecologic surgery claims involving urinary tract fistulas reveals the importance of expanding the scope of the informed consent conversation prior to surgery.

Course ID #: TDE 221138.0 Issue Date: 9/19/2022 Expiration Date: 9/19/2025

Learning Objectives

After completing this activity, learners will be able to:

  • Expand the informed consent process for gynecologic surgeries to include the increased risks of injury to surrounding tissues.
  • Provide a brief description of fistulas and the consequences if one occurs so that the patient can make informed decisions based on realistic expectations.
  • Consider adding language to the basic informed consent stating that gynecological procedures may result in bladder injuries that may not manifest immediately in the postoperative period.


No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests. No commercial support was provided for this activity.


The information and guidelines contained in this activity are generalized and may not apply to all practice situations. We recommend that legal advice be obtained from a qualified attorney for specific application to your practice. The information is intended for educational purposes and should be used as a reference guide only.

Course Developers

Pam Willis, BSN, JD, RN, CPHRM, Senior Patient Safety Risk Manager, Department of Patient Safety and Risk Management, The Doctors Company
Julie Brightwell, BSN, JD, RN, CPHRM, Director, Healthcare System Patient Safety, Department of Patient Safety and Risk Management, The Doctors Company
Johanna Lackner, MPH, MSW, Senior Director, Continuing Professional Development, Department of Patient Safety and Risk Management, The Doctors Company

Continuing Education Credit

The Doctors Company is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical educational activities for physicians.

The Doctors Company designates this activity for a maximum of 0.5 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Complies with State Requirements

Please SEE the Federation of State Medical Boards overview of Continuing Medical Education requirements by State. 

Technical Requirements

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Contact Us

If you have questions, contact educationsupport@thedoctors.com or call 800.421.2368.


Visit our Resource document for this program.