Bladder injuries during obstetrical and gynecological surgeries

Vaidya, Beena B.; Chaudhari, Manish; Parmar, Deep; Chaudhari, Vipul; Daginawala, Taha; Shah, Rohan J.

doi:10.18203/2349-2902.isj20172578

Cited by 8 publications

(5 citation statements)

References 5 publications

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“…A few authors also reported that surgical adhesions are a risk factor for bladder injury [ 14 , 15 ]. Out of 13 urinary bladder injuries reported, four (30.7%) were detected in post-operative periods [ 16 ]. Along with bladder injuries, ureteric injuries may also be encountered.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Associated With Bladder Injuries During Caesarean Section in a Secondary Care Hospital

Majhi,

Mishra,

Majhi

2024

Cureus

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Introduction Bladder injury during caesarean section (CS) is not uncommon. Various factors increase the risk of bladder injury during CS, including prolonged labor with bladder distension, pregnancy with a scarred uterus, suspected intra-abdominal adhesions, distorted local anatomy, cesarean hysterectomy, and an increasing number of previous CS. Vigilant preoperative assessment and surgical precision are essential to mitigate these risks and ensure optimal outcomes for mother and child. Objectives To find out the prevalence and risk factors associated with bladder injuries during caesarean section. Methodology Hospital-based retrospective record review of 3600 pregnant women who had undergone cesarean section during the period January 2015 to December 2023 were included in the study. Data was analyzed using SPSS software, version 22 (trial version) (IBM Corp., Armonk, NY). The Chi-square test and Fisher’s exact test were used. Ethical clearance was obtained from the Institutional Ethics Committee at Tata Main Hospital Noamundi (approval number NI/CMO/26/24). Result Bladder injury prevalence was reported to be 1.1%. Bladder injuries were significantly (p<0.0001) more among the CS cases with underlined complications as compared to CS cases without any underlined complications. Repeat CSs were found to have a significantly (p<0.001) higher proportion of bladder injuries compared to primary CS. Conclusion Bladder injuries during cesarean section are a significant concern. The risk factors identified, such as the number of previous cesarean sections and complications during pregnancy, highlight the importance of careful preoperative assessment and surgical precision to prevent such injuries.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Associated With Bladder Injuries During Caesarean Section in a Secondary Care Hospital

Majhi,

Mishra,

Majhi

2024

Cureus

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“…In literature, the reported complications rate is as low as 0.77% and as high as 46.45% respectively. 1,10,11 A study recom-mended routine use of cystoscopy following hysterec-tomy to identify any missed bladder injury. Cystoscopy detects urethral injury in 100 % and bladder injury in 94 % cases.…”

Section: Discussionmentioning

confidence: 99%

Presentation and Management of Patients With Obstetrical and Gynecological Complications in the Department of Surgery

2021

JPMI

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Objective: To find out the types of obstetrical and gynecological complications and their subsequent treatment in the department of general surgery.Methodology: This cross sectional study was conducted on 56 patients who presented to department of surgery, Hayatabad Medical Complex, Peshawar from July 2016 to June 2019. Patients presented either as emergency cases with 24-48 hours following surgery or those who were referred to OPD 48 hours after the procedure. Emergency cases included postoperative complications during obstetrical and gynaecological procedures performed in the department of Obstetrics and Gynaecology of the same hospital, and those referred from peripheral hospitals. These emergencies were managed immediately while cold cases were operated on elective operation list. Patients were followed up in the OPD. Data was analyzed with SPSS version 20.Results: Out of 56, 24 (42.8%) cases presented to accident and emergency department while 32 (57.2%) were referred to outdoor department (OPD). The initial surgeries, during which complications occurred, included total abdominal hysterectomy (n=34, 64.3%) followed by, pelvicmass excision (n=8, 14.3%) and cesarean section (n=8, 10.7%). The most common complication was wound infection (n=13, 23.2%) followed by haemorrhage (n=9, 16.1%) and incisional hernia (n=8, 14%). Debridement and dressing (n=13, 23.2%), haemostasis (n=9, 16.1%) and mesh repair (n=8, 14.3%) for incision hernia were the common operative procedures. There was no mortality in emergency as well as cold cases. Conclusion:Total abdominal hysterectomy, cesarean section and vaginal hysrerectomy, being commonly performed procedures, are associated with high percentage of post operative complications.

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“…8 The closeness of the genital and urine tracts anatomically and during embryologic development makes the urinary system particularly vulnerable to damage during surgical procedures in the female pelvis. [2][3] Urinary bladder and ureter injuries are a common post-gynecological or obstetrical surgery complication. [4][5][6] An estimated 0.2% to 1% of all pelvic surgery and gynecologic procedures are complicated by urinary tract damage.…”

Section: Introductionmentioning

confidence: 99%

Frequency of Urological Injuries in Obstetrical and Gynaecological Surgery at Tertiary Care Hospital

Pansota¹,

Pansota²,

Nazar³

et al. 2022

PJMHS

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Introduction: Due to the anatomical proximity of the urogenital organs, reproductive and obstetrical procedures have been intrinsically linked to urological damage. The connection of the genital and urine tracts anatomically and during embryologic development makes the urinary system particularly vulnerable to damage during surgical procedures in the female. Urinary bladder and ureter injuries are a common post-gynecological or obstetrical surgery complication. Objectives: To determine the frequency of urological injuries in obstetrical and gynaecological surgery. Materials & Methods: A total of 142 women who are undergoing obstetric and gynecologic surgeries, 25 to 55 years of age were included. Patients having urological injury from other than obstetric and gynecologic surgeries were excluded. In this study all patients were included who are fulfilling inclusion criteria undergoing obstetric (cessarean section) & gynaecologic (laprotomies & hysterectomies) were enrolled after taking written informed consent. Risk factors for urological injuries were assessed in terms of indication (risk for surgery), site of ureteric injury, location of bladder injury was noticed. Results: Age range in this study was from 25 to 55 years with mean age of 40.20 ± 6.92 years. Majority of the patients 77 (54.23%) were between 41 to 55 years of age. Mean duration of surgery was 62.16 ± 14.52 minutes. Mean time interval after surgery was 37.51 ± 13.89 hours. In this study, frequency of ureteral injury, urinary bladder injury and mixed injury in obstetrical and gynaecological surgery was found in 20 (14.08%), 14 (9.86%) and 07 (4.93%) patients. Conclusion: This study concluded that understanding pelvic anatomy, detailed dissection, and patience in challenging cases are the essential elements to predict and reduce damage. Keywords: obstetrical and gynaecological surgery, ureteric injury, bladder injury.

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Bladder injuries during obstetrical and gynecological surgeries

Cited by 8 publications

References 5 publications

Prevalence and Risk Associated With Bladder Injuries During Caesarean Section in a Secondary Care Hospital

Prevalence and Risk Associated With Bladder Injuries During Caesarean Section in a Secondary Care Hospital

Presentation and Management of Patients With Obstetrical and Gynecological Complications in the Department of Surgery

Frequency of Urological Injuries in Obstetrical and Gynaecological Surgery at Tertiary Care Hospital

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