Dysuria due to Bladder Distortion after Repeat Cesarean Section

Abstract

Abnormalities of the lower urinary tract resulting from cesarean section are rare. We present a patient who developed urinary frequency, nocturia and acute pains in the late phase of micturition which we think was due to bladder distortion after repeat cesarean section. She was diagnosed cystographically and treated successfully by bladder flap release.

Injury to Urinary Organs during Natural Deliveries, Caesarean Sections and Peripartum Hysterectomies

“…On average, 1 patient received 5.75 U of Red Blood Cell Concentrate (RBCC), and 2.67 U of fresh frozen plasma. Other authors reported similar values of RBCC (96.0% and 84% cases required transfusions during obstetric hysterectomy) [21,23].…”

“…It is recommended to check the ureters patency at the close of each operation during which there was a risk of injury [2,15]. Among complications after hysterectomy at caesarean section or after delivery, ureteral injury was reported in 3% of women [23]. In the present analysis, 1 case of ureteral injury occurred during hysterectomy performed at caesarean section; among hysterectomies performed during caesarean section and in the puerperium it accounted for 2.6% cases.…”

“…Literature reports on 3% ureteral injuries after hysterectomy performed at caesarean section or after delivery [23]. Thus it is recommended to check the patency of the ureter at the close of each surgery [15].…”