Iatrogenic Urinary Tract Injuries during Obstetrics and Gynecology Surgeries

الملخص

Latrogenic urinary tract injury is not uncommon during obstetric and gynecological surgeries. We report our
experiences in the principle of management, time of diagnosis and time of treatment (collaboration with result),
incidence of urinary tract injuries (most common) and investigation of the risk factors and the prophylactic urological
procedures to decrease the risk of injury.
From January 2000 to June 2014, 68 females recorded in the sheets prepared for all cases who underwent different
gynecological and obstetric surgeries. 40 and 8 cases were diagnosed intraoperatively as urinary bladder and ureteric
injury respectively and the urological management done at the same time which gave good results postoperatively,
psychologically and during follow up.
Twenty patients transferred from other hospitals after third to 21 days post operatively with different urinary tract
injuries and its complications. All patients were cured of their complication except 2 cases of VVF were failed first
repair, they were managed successfully in the second surgery.
Urinary tract injuries have physical and psychological impacts for the patients and her family, therefore gynecologist
and obstetricians should be careful for the anatomy of urinary tract especially in the risk patients.