Urologic Complications in Obstetric and Gynecologic Surgery: A Four Year Philippine General Hospital Experience

Urologic Complications in Obstetric and Gynecologic Surgery: A Four Year Philippine General Hospital Experience
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Title:Urologic Complications in Obstetric and Gynecologic Surgery: A Four Year Philippine General Hospital Experience
Author/Abstract:

Manuel Manalo Jr., MD1 and Marie Carmela Lapitan, MD, DPBU1,2 1

Division of Urology, Department of Surgery, Philippine General Hospital, University of the Philippines Manila

2National Institutes of Health - University of the Philippines Manila

Objective: To describe the urologic injuries associated with obstetric and gynecologic surgery.

Study Design: This is a 4-year retrospective study of all patients referred to the Division of Urology by the Department of Obstetrics and Gynecology, Philippine General Hospital.

Results: Forty five cases of urinary tract injuries during obstetric and gynecologic surgery were noted from April 2003-2007. There were 26 (57.7%) bladder injuries and 19 (42.2%) ureteral injuries. Thirty one injuries (69.9%) occurred during procedures for benign conditions. Total hysterectomy with bilateral salpingooophorectomy (THBSO) was the most common surgery associated with iatrogenic injury to the bladder and ureter.

Conclusion: Urinary tract injury during obstetric and gynecologic surgery is rare. It is most common during the performance of THBSO.

Key words: urinary tract injury, gynecologic surgery, obstetric surgery

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