Design: N/A

Setting: High volume minimally invasive gynecologic surgery practice. Patients were positioned in dorsal lithotomy.

Patients or Participants: No patient identifiers were used in this video.

Interventions: Retroperitoneal dissection with ureterolysis was performed in this video.

Measurements and Main Results: This video reviews multiple strategies to increase surgeon’s comfort and skill with identifying the ureter in various scenarios. Learning key anatomic landmarks and understanding the course of the ureter can help the surgeon find the ureter at various points along its path to be able to adapt to situations in which scarring and distorted anatomy make ureteral identification more difficult.

Conclusion: Many gynecologic procedures require ureteral identification and ureterolysis in order for safe completion of the case. This video demonstrates key techniques to aid in finding the ureters by using important anatomic landmarks.