Obstetric-associated lower urinary tract injuries: a single-center study

Authors

  • Sandipkumar Chaudhari Department of General Surgery, Lions General Hospital, Mehsana Lions General Hospital, Mehsana, Gujarat, India http://orcid.org/0000-0002-1397-5494
  • Jimitkumar Patel Department of General Surgery, Safal Multispeciality Hospital, Mehsana, Gujarat, India
  • Priyanshu Patel Department of Obstetrics and Gynecology, Lions General Hospital, Mehsana Lions General Hospital, Mehsana, Gujarat, India
  • Naresh Chaudhary Department of Obstetrics and Gynecology, Apple Nursing Home, Mehsana, Gujarat, India
  • Sonalben Chaudhary Department of Intensive Care, Lions General Hospital, Mehsana Lions General Hospital, Mehsana, Gujarat, India
  • Bhooraram Choudhary Department of General Surgery, Lions General Hospital, Mehsana Lions General Hospital, Mehsana, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222469

Keywords:

Bladder, Cesarean, Injury, Repair, Sepsis

Abstract

Background: Urinary tract injury is a known complication of obstetric and gynecologic surgery. Intraoperative identification of injury permits prompt repair and potentially lessens postoperative sequelae including patient morbidity and cost. Delayed diagnosis of urinary tract injuries can result in physical complications beyond the site of the injury, such as genitourinary fistula formation, renal injury, sepsis, death, and psychosocial dysfunction.

Methods: We describe the management of 27 patients with such injuries, including their demographic profile, associated factors, and complications at a tertiary institution in a retrospective study from February 2013 to March 2021.

Results: Bladder injuries were the most common (81.5%), mostly occurring during emergency cesarean delivery, with previous cesarean delivery and adhesions being risk factors. A primary repair was attempted at the referring institution in 18.5% of cases. Repair at the tertiary institution was mostly performed by consultants (66.7%).

Conclusions: Early recognition and primary repair are associated with fewer complications.

Author Biographies

Priyanshu Patel, Department of Obstetrics and Gynecology, Lions General Hospital, Mehsana Lions General Hospital, Mehsana, Gujarat, India

Department of Obstetrics & Gynecology

Naresh Chaudhary, Department of Obstetrics and Gynecology, Apple Nursing Home, Mehsana, Gujarat, India

Department of Obstetrics & Gynecology

Bhooraram Choudhary, Department of General Surgery, Lions General Hospital, Mehsana Lions General Hospital, Mehsana, Gujarat, India

Lions General Hospital, Mehsana

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Published

2022-09-27

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Original Research Articles