Urological Injury in Obstetric and Gynecological Surgery: A Retrospective Analysis of Five Years

Rani, Anju

doi:10.21088/ijog.2321.1636.8220.2

Cited by 3 publications

(2 citation statements)

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“…3 Ureteral injuries occur in about 0.2-1% of all pelvic surgeries and 30% of radical hysterectomies. 3,4 Obstetric and gynecological surgeries, however, account for about 50% of all these injuries. [1][2][3][4][5] They are quite rare during cesarean deliveries, but cesarean hysterectomies increase the incidence to 3%, which is a 7-fold increase in injuries compared to non-obstetric hysterectomies.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Obstetric and gynecological surgeries, however, account for about 50% of all these injuries. [1][2][3][4][5] They are quite rare during cesarean deliveries, but cesarean hysterectomies increase the incidence to 3%, which is a 7-fold increase in injuries compared to non-obstetric hysterectomies. 6,7 The simple fact that 50% of ureteral injuries occur with obstetric and gynecological procedures means that there should be in-depth knowledge of the subject of ureteral injuries among physicians in this specialty.…”

Section: Introductionmentioning

confidence: 99%

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A Review on the Etiology, Prevention, and Management of Ureteral Injuries During Obstetric and Gynecologic Surgeries

Ade-Ojo¹,

Tijani²

2021

IJWH

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Iatrogenic ureteral injuries are a rare but serious complication of some gynecological and obstetric procedures with both high morbidity and legal implications. The incidence varies widely depending on the type and extent of the surgeries with about 70% unrecognized intraoperatively. When recognized intraoperatively and promptly managed, the prognosis is good. Ureteral injuries recognized postoperatively come with dire consequences for the patients and are litigation prone. Due to the proximity of the lower half of the ureters to the pelvic organs, 50% of the cases of injuries to the ureter occur within the jurisdiction of gynecological and obstetric practice. A good knowledge of the etiology, predisposing factors, appropriate surgical skills, proper identification of the course and deviation of the ureters, and intraoperative recognition of inadvertent damage to the ureter and its vasculature is required by all obstetricians and gynecologists to reduce the incidence of ureteral injuries by at least 50%. This review aims to add to what is already known, particularly among obstetricians and gynecologists practicing in resource-constrained settings.

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