Luchristt D, Brown O, Geynisman-tan J, et al. - Researchers aimed to report on the time to diagnosis of Complex lower urinary tract injury (cLUTI) among women undergoing benign hysterectomy, as well as to determine intraoperative risk factors for differences in type and timing of cLUTI in the 30-day postoperative period using the National Surgical Quality Improvement Program (NSQIP) hysterectomy dataset from 2014-2018. Inclusion criteria were met by 100,823 women. Median time of 10 days (IQR 3-19) was reported for cLUTI diagnosis; the time varied significantly based on the type of injury with ureteral obstruction (6, IQR 2-16) detected earlier than ureteral fistula (12, IQR 7-21) and bladder fistula (14, IQR 4-23). Overall cLUTI was diagnosed after the day of surgery in more than 91% of the NSQIP hysterectomy database. Route of hysterectomy, concomitant apical suspension and primary surgeon specialty are noted to be significantly linked with disparities in both type of injury and time until diagnosis. They emphasize considering these intraoperative risk factors when assessing for cLUTI in the 30-day postoperative period.