OBJECTIVE: Injuries of the ureter or bladder or development of vesicovaginal and ureterovaginal fistulas are the most serious complications in gynecological surgery. STUDY DESIGN: This study included 536 women who underwent radical hysterectomy because of invasive cancer of the cervix uteri. RESULTS: During the surgery the ureter was injured in 1.32% of cases, whereas the percentage of bladder injuries was 1.49. In the early postoperative period vesicovaginal or ureterovaginal fistulas appeared in 2.61% and 2.43% of cases, respectively. CONCLUSION: The stage of the disease, obesity, diabetes, and postoperative surgical infection acted as predisposing factors of the urinary tract complications.
OBJECTIVE: Injuries of the ureter or bladder or development of vesicovaginal and ureterovaginal fistulas are the most serious complications in gynecological surgery. STUDY DESIGN: This study included 536 women who underwent radical hysterectomy because of invasive cancer of the cervix uteri. RESULTS: During the surgery the ureter was injured in 1.32% of cases, whereas the percentage of bladder injuries was 1.49. In the early postoperative period vesicovaginal or ureterovaginal fistulas appeared in 2.61% and 2.43% of cases, respectively. CONCLUSION: The stage of the disease, obesity, diabetes, and postoperative surgical infection acted as predisposing factors of the urinary tract complications.
Authors: Jong Ha Hwang; Myong Cheol Lim; Jae Young Joung; Sang-Soo Seo; Sokbom Kang; Ho Kyung Seo; Jinsoo Chung; Sang-Yoon Park Journal: Int Urogynecol J Date: 2012-04-25 Impact factor: 2.894