We represented a urologist, a nurse, and a hospital in a case involving significant abdominal injuries allegedly caused by the urologist’s or the nurse’s perforation of the Plaintiff’s bladder. The injuries resulted in a 6-month hospitalization with numerous abdominal surgeries and organ failures in the 61-year-old male Plaintiff. Within a few days of the bladder perforation and repair, Plaintiff had a bowel perforation, peritonitis, and abdominal compartment syndrome. Plaintiff claimed that causing the bladder perforation was negligent and that the bladder perforation caused the subsequent injuries and lengthy hospitalization. Using a team of experts, we were able to prove to the arbitrator that the subsequent injuries were caused by a fundamentally different process independent of the bladder perforation. Further, we showed that the bladder perforation itself was a recognized complication of the urologist’s procedure that happened without negligence. A defense verdict was returned by the arbitrator.