Introduction Over the past decade, the utility of minimally invasive surgery (MIS), laparoscopy and robotics, has significantly increased in gynecologic oncology surgeries. MIS has many advantages Over open surgery including a significant reduction in the length of hospital stay, fewer post-operative complications, and increased patient satisfaction. Ureteral injuries are amongst the most common complication of gynecologic procedures. The presence of large pelvic masses, significant obesity, adhesions and previous radiation can increase the risk of ureteral injuries during gynecologic oncology procedures. Description Our objective is to demonstrate the technique of stent insertion and use. In addition we will demonstrate the use of lighted ureteral stents in difficult selective minimally invasive gynecologic oncology procedures such as surgery on morbidly obese patients, very large pelvic masses, management of adhesions and surgery for patients who were previously treated with pelvic radiation. We will demonstrate the use of lighted ureteral catheters in both laparoscopic and robotic procedures.

Conclusion Lighted Urethral stents can assist the surgeon in identifying the ureter, reduce the needs for extensive retroperitoneal dissection and potentially reduce rates of ureteral injuries. The usage of lighted ureteral catheters/stents are supported in both standard laparoscopic and robotic surgery. Techniques that can support the surgeon to accurately identify the ureters are paramount.