Lower urinary tract injury during gynaecological and obstetric surgeries: Two years’ experience in our centre

Michael Lardas, Christos Papachristou, Emmanouil Chrysafis, Andreas Skolarikos


Introduction: Operative injuries to the lower urinary tract during gynaecological and obstetric surgery are common due to its anatomic proximity with the reproductive system. The purpose of this article is to report our centre’s experience with these iatrogenic injuries over a period of 2 years.
Methods: We retrospectively reviewed our medical records during the years 2016 and 2017 in our department, to identify patients that were treated for lower urinary tract injury during or after gynaecological and obstetric surgeries.
Results: 11 females were treated in our hospital, with trauma to the bladder, or ureter following gynaecological or obstetric surgeries. The most common type of urinary tract injury was bladder injury, occurring in 8 patients followed by ureteric injury in 1 patient and bladder along with ureteric injury in 1 patient. One patient presented with right ureterovaginal fistula.
Conclusion: Bladder injury occurred very frequently as opposed to ureteral injury. The most significant risk factor for bladder injury during cesarean section seems to be previous cesarean delivery due to adhesive disease.


urological trauma; lower urinary tract injury; bladder trauma; ureteric injury; iatrogenic injury

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DOI: http://dx.doi.org/10.19264/hj.v30i1.225