Intraoperative damage to the urinary bladder during cesarean section — literature review

Korniluk, Andrzej; Kosiński, Przemysław; Wielgoś, Mirosław

doi:10.5603/gp.a2017.0031

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Urinary bladder injury is one of the operative morbidities of cesarean section. It occurs in 0.08% -0.94% of cesarean sections [1]. Repeated cesarean section and any type of morbidly adherent placenta (MAP) are considered the major risk factors for urinary tract injuries during cesarean delivery [2].…”

Section: Introductionmentioning

confidence: 99%

Could Bladder Inflation Prior to Cesarean Section Prevent Urinary Tract Injury in High Risk Group? A Randomized Controlled Trial

Ali¹,

Ahmed²,

Khodry³

et al. 2019

OJOG

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Background: Accidental urinary tract particularly bladder injury during cesarean delivery has a significant maternal morbidity, as it may lead to extended operative time, infection of urinary tract and sometimes development of urinary tract fistulae. Objective: To find out the efficacy of urinary bladder inflation immediately prior to cesarean section (CS) procedure in minimizing incidence of accidently urinary tract injury in high risk patients.

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Section: Introductionmentioning

confidence: 99%

Could Bladder Inflation Prior to Cesarean Section Prevent Urinary Tract Injury in High Risk Group? A Randomized Controlled Trial

Ali¹,

Ahmed²,

Khodry³

et al. 2019

OJOG

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“…Repeated cae-sarean delivery can be outlined as the main risk factor for bladder injury. Previous surgery is-in fact-the most frequent cause of adhesion which can make more insidious the opening of the peritoneum or even more the vesical-uterine pouch running easily into the wrong plane [13]. This can provoke the thinning of a fibrous scar-bladder wall until a full-thickness injury occurs.…”

Section: Discussionmentioning

confidence: 99%

Urinary Incontinence after Iatrogenic Bladder Injury during Cesarean Section. A Ten-Year Single-Center Retrospective Analysis and Review of the Literature

Cicuti¹,

Manodoro²,

Bosio³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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Background: Bladder injuries during caesarean delivery are rare but serious intraoperative complications. Short-term effects of bladder injuries include prolonged catheterization and urinary infections. Nevertheless, there is a lack of data regarding long-term adverse outcomes, such as lower urinary tract dysfunctions. Our aim is to retrospectively analyze the long-term prevalence of urinary incontinence after iatrogenic bladder injury occurring during caesarean delivery in a singleton first-level Obstetric Department. Moreover, with a systematic review we aimed to define on urinary symptoms, primarily urinary incontinence. Methods: All patients who underwent caesarean delivery with bladder injuries in our first-level obstetrics department between 1st January 2010 and 31st December 2020 were included and reached for a telephone interview during 2021. Moreover, a systematic literature review was conducted up to November 28, 2021. Data selection and extraction were conducted in accordance with PICOS (Population, Intervention, Comparison, Outcome and Study design) criteria for study selection, using a piloted form specifically designed for capturing information on the study and characteristics. Results: Throughout the obstetrics database of our department, we identified 16 patients with iatrogenic bladder injury in 3725 caesarean delivery, with an overall incidence of 0.43%. Ten patients out of 16 (63%) attended the interview and four of them (40%) developed urinary incontinence. Three studies met the criteria for the systematic review. The incidence of bladder injuries varied from 0.05 to 0.47%. The incidence of urinary incontinence ranged from 4.9 to 37.5%, regardless the type of incontinence with no information about any treatment need. Conclusions: The incidence of bladder injuries associated with caesarean delivery in our population was similar to levels reported in the literature. Even if out of only three papers, the incidence of urinary incontinence resulted in a wide range among authors. In conclusion, urinary incontinence seems to be related to iatrogenic bladder injury during caesarean section, but, due to the lack of additional data, more studies are needed to precisely define the causality link.

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“…Vezica urinară este principalul organ cu risc în OC, îndeosebi la femeile cu aderențe multiple [22]. Afectarea vezicii urinare este constatată cu o incidență de la 0,08% până la 0,94% [4,23,24]. Leziunile intestinale în timpul OC apar în 0,08% cazuri cu afectarea cea mai frecventă a colonului [4].…”

Section: Rezultateunclassified

Intraoperative complications of multiple caesarean sections (literature review)

Potacevschi

2023

BulMed

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Multiple caesarean sections increase the risk of intraoperative complications: adhesions, damage to the pelvic organs (bladder, ureters, intestines), bleeding with the need for blood transfusion, abnormal placentation, hysterectomy for cae- sarean section, failure of the uterine scar, uterine rupture. The frequency of these complications increases in proportion to the number of previous caesarean sections. Although a causal relationship is often difficult to establish, some of these complications are likely related to surgically induced adhesions. Repeated cesarean section operations are associated with more complex surgical interventions: difficulties in opening the abdominal cavity, difficult separation of the uterus, bladder and ureters from adhesions, the need for blood transfusion and surgical correction of damage to neighboring organs (bladder, ureters, intestines), the need for additional surgical intervention such as hysterectomy . Reducing unnecessary primary caesarean sections and repeat caesarean sections, post-caesarean vaginal delivery, and careful surgical technique can significantly reduce intraoperative surgical complications.

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Intraoperative damage to the urinary bladder during cesarean section — literature review

Cited by 4 publications

References 20 publications

Could Bladder Inflation Prior to Cesarean Section Prevent Urinary Tract Injury in High Risk Group? A Randomized Controlled Trial

Could Bladder Inflation Prior to Cesarean Section Prevent Urinary Tract Injury in High Risk Group? A Randomized Controlled Trial

Urinary Incontinence after Iatrogenic Bladder Injury during Cesarean Section. A Ten-Year Single-Center Retrospective Analysis and Review of the Literature

Intraoperative complications of multiple caesarean sections (literature review)

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