Urinary tract injuries during cesarean delivery: long-term outcome and management

Safrai, Myriam; Stern, Shira; Gofrit, Ofer N.; Hidas, Guy; Kabiri, Doron

doi:10.1080/14767058.2020.1828336

Cited by 9 publications

(9 citation statements)

References 33 publications

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“…An even lower proportion of bladder injury, i.e. 0.08%, has been reported by Safrai et al in their study conducted between 2004-2018, including 17,794 CS deliveries [ 11 ]. Similar results have been reported by Salman et al in their study conducted during 2007-2016 among 17.326 CS deliveries found that 0.07% had bladder injuries [ 12 ].…”

Section: Discussionmentioning

confidence: 96%

Prevalence and Risk Associated With Bladder Injuries During Caesarean Section in a Secondary Care Hospital

Majhi,

Mishra,

Majhi

2024

Cureus

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Introduction Bladder injury during caesarean section (CS) is not uncommon. Various factors increase the risk of bladder injury during CS, including prolonged labor with bladder distension, pregnancy with a scarred uterus, suspected intra-abdominal adhesions, distorted local anatomy, cesarean hysterectomy, and an increasing number of previous CS. Vigilant preoperative assessment and surgical precision are essential to mitigate these risks and ensure optimal outcomes for mother and child. Objectives To find out the prevalence and risk factors associated with bladder injuries during caesarean section. Methodology Hospital-based retrospective record review of 3600 pregnant women who had undergone cesarean section during the period January 2015 to December 2023 were included in the study. Data was analyzed using SPSS software, version 22 (trial version) (IBM Corp., Armonk, NY). The Chi-square test and Fisher’s exact test were used. Ethical clearance was obtained from the Institutional Ethics Committee at Tata Main Hospital Noamundi (approval number NI/CMO/26/24). Result Bladder injury prevalence was reported to be 1.1%. Bladder injuries were significantly (p<0.0001) more among the CS cases with underlined complications as compared to CS cases without any underlined complications. Repeat CSs were found to have a significantly (p<0.001) higher proportion of bladder injuries compared to primary CS. Conclusion Bladder injuries during cesarean section are a significant concern. The risk factors identified, such as the number of previous cesarean sections and complications during pregnancy, highlight the importance of careful preoperative assessment and surgical precision to prevent such injuries.

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Section: Discussionmentioning

confidence: 96%

Prevalence and Risk Associated With Bladder Injuries During Caesarean Section in a Secondary Care Hospital

Majhi,

Mishra,

Majhi

2024

Cureus

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“… 5 Although a few reports indicate that accidental bladder injury during a CD, when adequately repaired, may not be associated with complications, we advocate that any bladder injury should best be avoided when possible. 6 …”

Section: Discussionmentioning

confidence: 99%

Assessment of the urinary bladder prior to cesarean delivery in women with multiple abdominal scars through operation table ultrasonography: a case report

Fangmann¹,

Henrich²,

Hinkson³

2023

AJOG Global Reports

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“…In contrast, Raut et al (10), reported three-fold UT injuries with obstetric than gynecologic operations. However, Safrai et al 3 stated that UT injuries are scarce during cesarean delivery, especially ureteral injuries. These variations may be due to the different study designs and prevalence of included cases with previous pelvic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…UT injuries during Obst/Gyn surgeries are rare but have a significant psychological impact on both patient and surgeon, and their medico-legal aspects are very bothering . 2,3 UT injuries during Obst/Gyn operations range from 0.3 to 1% 4,5 . Most cases are bladder injury, approximately three times more than ureteral injury .…”

Section: Introductionmentioning

confidence: 99%

Urinary Tract Injuries during Obstetric and Gynecologic Surgeries: Rates and Management Outcome at Two High-Volume Centers in a Developing Country

Solyman

Gomaa

Zaki

et al. 2022

Al-Azhar International Medical Journal

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Background: Iatrogenic genitourinary trauma can result from various obstetric (Obst) and Gynecologic (Gyn) surgeries. Aim of The Work:To evaluate the rate and management outcome of urinary tract (UT) injuries caused by Obst/Gyn surgeries at two tertiary care centers in a developing country. Patients and Methods: In this study, we reviewed the files of all patients with UT injuries due to Obst/Gyn surgeries managed in the past 6 years at two tertiary care centers in Egypt. Types of Obst/Gyn surgeries and UT injuries, time at diagnosis, associated factors, and management outcome were evaluated. Results:The study included 103 patients. The UT injuries were in the form of urinary bladder injury in 38 (36.9%), ureteral injury in 11 (10.7%), and genitourinary fistula in 54 (52.4%). The fistula was vesicouterine in 13, vesicovaginal in 36, and ureterovaginal in 5 cases. Most bladder injuries (76.3%) occurred during cesarean section, and all were reported and successfully repaired intraoperatively. The ureteral injuries were reported intraoperatively in 7 (63.6%) and postoperatively in 4 (36.4%) cases. Most ureteral injuries (90.9%) occurred during abdominal hysterectomy, and all were successfully managed except for one patient who needed reoperation. Most genitourinary fistulae (74.1%) were diagnosed after abdominal hysterectomy, and all were managed successfully by surgical intervention, except 3. The factor associated with bladder injury and genitourinary fistula formation was the history of previous pelvic surgery. Conclusion: Most UT injuries induced during Obst/Gyn surgeries were managed successfully. The reported associated factor could aid in reducing the risk of this type of injury.

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Urinary tract injuries during cesarean delivery: long-term outcome and management

Cited by 9 publications

References 33 publications

Prevalence and Risk Associated With Bladder Injuries During Caesarean Section in a Secondary Care Hospital

Prevalence and Risk Associated With Bladder Injuries During Caesarean Section in a Secondary Care Hospital

Assessment of the urinary bladder prior to cesarean delivery in women with multiple abdominal scars through operation table ultrasonography: a case report

Urinary Tract Injuries during Obstetric and Gynecologic Surgeries: Rates and Management Outcome at Two High-Volume Centers in a Developing Country

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