Intraoperative Urinary Tract System Injuries during Caesarean Section: A Retrospective Analysis

Document Type : Original Article

Authors

1 Obstetrics & Gynecology Department, Faculty of Medicine, Zagazig University, Egypt.

2 Obstetrics & Gynecology Department, Faculty of Medicine, Zagazig University, Egypt.

Abstract

Background: Maternal mortality rates have been linked to caesarean deliveries. Urologic injury, on the other hand, is a frequent side effect of pelvic surgery.

Objective: The aim of the present study was to evaluate the causes, types, and treatment of the urinary tract injury during caesarean section.

Patients and methods: This retrospective study was carried out on a total of 15220 cesarean sections which were done through last five years, from which only 94 (0.618%) women had urinary tract (UT) injuries.

Results: There a significant difference between the two groups regarding age and BMI.There is a significant difference between the two groups regarding parity, number of prior cesareans, adhesions and history of previous gynecological surgery. There is a significant difference between the two groups regarding timing of delivery, station ≥1, and uterine rupture, ruptured chorionic membranes, skin incision to uterine incision and estimated blood loss. BMI, previous pelvic surgery, higher parity, adhesions and repeated CS were found to significant risk factors for urinary tract injury during CS.

Conclusion: Bladder damage following caesarean section is a rather uncommon occurrence. Adhesive disease-related prior caesarean delivery is the biggest risk factor for bladder damage during a C-section.

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Zagazig University Medical Journal

Articles in Press, Accepted Manuscript
Available Online from 04 December 2023

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