Management of urinary tract injuries following total hysterectomy—A single hospital experience
| Autor: | Kim-Seng Law, Zhon-Min Huang, Hsiang-Lai Chen, I-Yen Lee, Chao-Yu Hsu, Wei-Chun Weng, Min-Che Tung, Hao-Ping Tai, Li-Hua Huang, Siu-San Tse |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Hysterectomy medicine.diagnostic_test business.industry Urology Urinary system Incidence (epidemiology) medicine.medical_treatment Urologic injuries Cystoscopy medicine.disease Vesicovaginal fistula Surgery 03 medical and health sciences 0302 clinical medicine Ureteroureterostomy Medicine 030212 general & internal medicine Ureteroscopy business |
| Zdroj: | Urological Science. |
| ISSN: | 1879-5226 |
| DOI: | 10.1016/j.urols.2017.06.002 |
| Popis: | Objective: This study elaborated on the clinical experience of patients who underwent urologic management due to urologic complications after receiving a total hysterectomy at a regional hospital. Materials and methods: A total of 696 female patients received the four types of total hysterectomy including total abdominal hysterectomy, transvaginal hysterectomy, lapaparoscopic hysterectomy or robotic hysterectomy for variant gynecologic pathologies. Only 22 cases (3.2%) had urologic procedures performed during or after the operations from 2012/1/1 to 2016/6/30. Results: Of the 22 cases, thirteen (1.9%) received a series of conservative managements only, including cystoscopy, ureteroscopy, endoscopic ureterotomy, ureteral catheterization or double J stenting during the follow-up period. Nine more complicated cases (1.3%) eventually had definitive management, including repair of the urinary bladder rupture, repair of the vesicovaginal fistula, ureteroureterostomy or ureteroneocystostomy. However, five of these nine cases had both conservative and definitive management. The mean delay interval between the initial management and gynecologic procedure was 19.3 days. For definitive management and the gynecologic procedure, the period was 52.8 days. Conclusions: Compared to previous studies, the incidence of urologic injuries following a total hysterectomy in our hospital was similar. From the paper review, it seems early recognition does not improve the outcome but we found a 100% good outcome in patients with definitive management. Copyright © 2017, Taiwan Urological Association. Published by Elsevier Taiwan LLC. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ). |
| Databáze: | OpenAIRE |
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