Injuries to the ureter with certain forms of trauma including penetrating abdominal injuries and injuries at high speeds followed by an abrupt stop (e.g., a high speed car accident).[5] The ureter is injured in 0.2 per 1,000 cases of vaginal hysterectomies and 1.3 per 1,000 cases of abdominal hysterectomies,[6] near the infundibulopelvic (suspensory) ligament or where the ureter courses posterior to the uterine vessels.[7]