The Role of Pre-Operative Intravenous Urography in Preventing Urinary Tract Injury for Benign Pelvic Lesion

Abstract

Due to close anatomical proximity of female urinary and genital tract, the ureter, urinary bladder and urethra are vulnerable for injury during gynaecological surgery. In a comparative observational study we evaluated 89cases having benign and clinically high risk gynaecological conditions requiring surgery, for the incidence of urinary tract involvement and to determine whether pre-operative assessment of urinary tract by IVU diminishes the risk of operative injury. At what circumstances IVU will be justifiable is also evaluated. In our study IVU could detect urinary tract involvement in 41.37% cases preoperatively in selected benign gynaecological condition. In the study group 2 patients sustained intraoperative urinary tract injury whereas 5 cases in control group had the same.It is evident from our study that IVU can detect urinary tract anomaly in large number of patients in comparison to control group; the information available to gynecologist allow him/her to take steps to either prevent or detect ureteric injury during operation.