We have allbeen on either the giving or receiving end of a helpful intraoperative consult. It is always remarkable how a different point of view, a different incision, or a unique approach to the operative management of a problem can turn a sour occasion into a successful one. When one is the urologist called in to repair an iatrogenic injury to the genitourinary system, it is essential that we bring that fresh perspective to the situation. This is best accomplished via two principles: (1) do your best to duplicate the operative setting with which we are all more familiar - the elective case, and (2) be flexible and change your approach as demanded by the clinical situation at hand.

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