Urological trauma in gynaecological surgery: diagnosis and management

Abstract

Lesions of the urinary tract being a rare, but typical, complication of gynaecological surgery need a skilled pelvic surgeon for prevention and, when they occur, knowledge of adequate techniques of repair or palliative solutions until final repair can take place. The increasing incidence of lesions of the urinary tract as a result of endoscopic surgery makes better training mandatory.

Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice

“…Pelvic surgeons should be skilled in the prevention, early detection and correction of surgical complications [ 193 ].…”

A new classification for female genital tract fistula

“…In developed countries, over 90% of genital tract fistulae occur following pelvic surgery 1 . Urinary tract injury complicates 1% of all gynaecological procedures and Caesarean sections 2 and the incidence of genitourinary fistula following all hysterectomies is 0.8/1000 3 …”

Physical therapy treatment in incontinent women provided by a Public Health Service

“…The use of sacral neuromodulators and minimally invasive intervention stand out among surgical interventions, as these practices were approved by the Food and Drug Administration (FDA), in 2002, to be employed in overactive bladder (21) treatment. Surgical options to treat SUI may include abdominal and vaginal procedures, laparoscope and related practices (22).…”