Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (2): 280-282    DOI: 10.12891/ceog3790.2018
Original Research Previous articles | Next articles
Iatrogenic genitourinary system injury during gynecological and obstetric surgery: ten-year results
T. Yapanoglu1, *(), S.O. Demirdogen1, F. Ozkaya1
1 Department of Urology, Ataturk University Faculty of Medicine, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  
Purpose of investigation: The authors’ objective was to investigate the predisposing factors and treatment results of genitourinary (GU) system injuries that occur following gynecological and obstetric surgery (GOS). Materials and Methods: They evaluated retrospectively 87 consecutive patients who had GU tract injury occurring with GOS between 2005 and 2015. Results: There were 87 patients that had GU tract injury, in which 57 had bladder injury, and 30 had ureteral injury. Of the patients who had bladder injury, 38 had only bladder injury and underwent primary repair. Nineteen patients had vesicovaginal fistula and all underwent open transabdominal transvesical repair after three months. Among the 30 ureteral injuries, four were ligation, nine incomplete cut, ten complete cut, and seven fistula. Two patients who had ligation underwent nephrectomy, and two underwent deligation. Nine patients with incomplete cuts underwent primary repair and stenting; end-to-end anastomosis was performed in ten patients with incomplete cuts. Three patients with ureterovaginal fistula underwent ureteroneocystostomy and Boari flaps were performed in four patients. Conclusion: GU system injuries may occur following GOS. When treated early and properly, recovery without complications is possible.
Key words:  Genitourinary tract injury      Cesarean      Bladder injury      Ureteral injury      Hysterectomy     
Published:  10 April 2018     
*Corresponding Author(s):  T. YAPANOGLU     E-mail:  turgutyapanoglu@mynet.com

Cite this article: 

T. Yapanoglu, S.O. Demirdogen, F. Ozkaya. Iatrogenic genitourinary system injury during gynecological and obstetric surgery: ten-year results. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(2): 280-282.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3790.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I2/280

[1] S. Srisukho, K. Srisupundit, T. Tongsong. Fulfillment of the criteria for diagnosis of cephalo-pelvic disproportion: ACOG guidelines[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 500-504.
[2] G.L. Liu, S.C. He, W.J. Shan, H.Y. Chen. Repetitive hydatidiform mole in the cesarean scar: a case report and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 607-610.
[3] A.M. Sindiani, H.M. Rawashdeh, E.H. Alshdaifat, O.F. Altal, H. Yaseen, A.A. Alhowary. The association between repeated doses of vaginal PGE2 (Dinoprostone, Prostin®) and both maternal and neonatal outcomes among women in the north of Jordan[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 329-334.
[4] K. Tamura, H. Takahashi, S. Uchida, M. Ogoyama, R. Usui, S. Matsubara. Intrauterine balloon failure: unrecognized placenta accreta spectrum disorders[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 405-408.
[5] J. Huang, Z. Zhang. Spontaneous umbilical cord vascular rupture before labor for congenital defects with a live birth: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 142-143.
[6] K. Relakis, A. Pontikaki, I. Kosmas, S. Sifakis. Bilateral ascending uterine arteries ligation for conservative management of complete placenta previa: three case reports[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 144-146.
[7] D. Jovanovic, D. R. Milovanovic, I. Jovanovic, M. Folic, V. Jakovljevic. Influence of cytokines on the postoperative period[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 31-36.
[8] H. Takahashi, Y. Baba, M. Ogoyama, H. Suzuki, A. Ohkuchi, R. Usui, S. Matsubara. Does previous cesarean section per se, especially its number, increase the risk of allogeneic blood transfusion at cesarean section for placenta previa?[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 41-46.
[9] H. Kiyak, L. S. Turkgeldi, C. Ozdemir, S. Gunkaya, K. Tolga, A. Gedikbası. Myomectomy during cesarean section: is it a redundant or a feasible procedure?[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 881-887.
[10] A. Lavinia Cozlea, E. Előd Élthes, Á. Török, M. Emil Capîlna. Clinical presentation, risk factors and management of ectopic pregnancy: a case-control study[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 914-919.
[11] A. Basha, Z. Falayleh, R. Jabra, S. Attili, Y. Obeidat, L. El-Khatib, A. Ala’eddien Obeidat. Cesarean section: Where are we are now? A comparative study between 1997-1998 and 2015-2016 at a tertiary teaching hospital in a developing country[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 943-947.
[12] Y. Wang, F.Y. Luo, Y.D. Xia, L. Mei, L. Xie, H.X. Liu. Clinical analysis of 211 cases of cesarean scar pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 948-952.
[13] G. Virdis, F. Dessole, A. Andrisani, A. Vitagliano, R. Cappadona, G. Capobianco, E. Cosmi, G. Ambrosini, S. Dessole. Cesarean scar pregnancy: a report of three cases and a critical review on the management[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 982-985.
[14] D. Damnjanovic, M. Zamurovic, D. Zamurovic, S. Krusic. Liver rupture as a complication in cardiopulmonary resuscitation for cardiac arrest after vaginal hysterectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1031-1033.
[15] M. Trisovic, O. Mladenovic, J. Bila, K. Lalić, D. Kisic Tepavcevic. The predictive value of metabolic syndrome in the evaluation of pregnancy course and outcome[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 776-778.
No Suggested Reading articles found!