Urinary tract injuries during pelvic surgery: Incidence rates and predisposing factors

Sang Wook Bai, Eun Ha Huh, Da Jung Jung, Joo Hyun Park, KoonHo Rha, Sei Kwang Kim, Ki Hyun Park

Research output: Contribution to journalReview article

47 Citations (Scopus)

Abstract

Objective: To review the cases of urinary tract injury following major pelvic surgery that were treated in our hospital over the last 12 years, in relation to possible predisposing factors and incidence rates of injury arising in various surgical procedures. Materials and methods: From 8,824 major gynecological operations performed in our department, 29 cases of intraoperative urinary tract injury were found. Thirty eight patients visited the urology department during the same period for the management of urogenital fistula following pelvic surgery. Parameters that were examined included type of urinary tract injury, indication for surgery, type of operation, coexisting pathological conditions, past history of pelvic surgery or pelvic irradiation, and the delay in the recognition and management of the urinary tract injury. Results: The overall incidence of urinary tract injury in pelvic surgery was 0.33%. The incidence of urinary tract injury in radical hysterectomy was higher than that of total abdominal hysterectomy(0.76 vs 0.26%). Of the intraoperative urinary tract injuries, 48.4% coexisted pelvic pathologies. Of all the cases with urinary tract injury, the most common type of operation was total abdominal hysterectomy (n=45, 67.2%), and the most common indication was uterine myoma (n=25, 36.9%). The most common type of urinary tract injury was bladder injury, including bladder laceration and vesicovaginal fistula (n=57, 76.1%). The frequency of reoperation was found to be lower in patients with a shorter delay in the recognition of the injury (p<0.05). Conclusion: Possible predisposing factors for urinary tract injury are coexisting pelvic adhesion, distortion of normal pelvic configuration, previous irradiation history, previous operation history, and the extent of surgery. In high-risk patients, proper evaluation is needed to avoid urology complications before operation.

Original languageEnglish
Pages (from-to)360-364
Number of pages5
JournalInternational Urogynecology Journal
Volume17
Issue number4
DOIs
Publication statusPublished - 2006 Jan 1

Fingerprint

Urinary Tract
Causality
Incidence
Wounds and Injuries
Hysterectomy
Urology
Urinary Bladder
History
Vesicovaginal Fistula
Myoma
Lacerations
Reoperation
Fistula
Pathology

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology
  • Urology

Cite this

Bai, Sang Wook ; Huh, Eun Ha ; Jung, Da Jung ; Park, Joo Hyun ; Rha, KoonHo ; Kim, Sei Kwang ; Park, Ki Hyun. / Urinary tract injuries during pelvic surgery : Incidence rates and predisposing factors. In: International Urogynecology Journal. 2006 ; Vol. 17, No. 4. pp. 360-364.
@article{d04346be49474f6d93baa21ecd4236fb,
title = "Urinary tract injuries during pelvic surgery: Incidence rates and predisposing factors",
abstract = "Objective: To review the cases of urinary tract injury following major pelvic surgery that were treated in our hospital over the last 12 years, in relation to possible predisposing factors and incidence rates of injury arising in various surgical procedures. Materials and methods: From 8,824 major gynecological operations performed in our department, 29 cases of intraoperative urinary tract injury were found. Thirty eight patients visited the urology department during the same period for the management of urogenital fistula following pelvic surgery. Parameters that were examined included type of urinary tract injury, indication for surgery, type of operation, coexisting pathological conditions, past history of pelvic surgery or pelvic irradiation, and the delay in the recognition and management of the urinary tract injury. Results: The overall incidence of urinary tract injury in pelvic surgery was 0.33{\%}. The incidence of urinary tract injury in radical hysterectomy was higher than that of total abdominal hysterectomy(0.76 vs 0.26{\%}). Of the intraoperative urinary tract injuries, 48.4{\%} coexisted pelvic pathologies. Of all the cases with urinary tract injury, the most common type of operation was total abdominal hysterectomy (n=45, 67.2{\%}), and the most common indication was uterine myoma (n=25, 36.9{\%}). The most common type of urinary tract injury was bladder injury, including bladder laceration and vesicovaginal fistula (n=57, 76.1{\%}). The frequency of reoperation was found to be lower in patients with a shorter delay in the recognition of the injury (p<0.05). Conclusion: Possible predisposing factors for urinary tract injury are coexisting pelvic adhesion, distortion of normal pelvic configuration, previous irradiation history, previous operation history, and the extent of surgery. In high-risk patients, proper evaluation is needed to avoid urology complications before operation.",
author = "Bai, {Sang Wook} and Huh, {Eun Ha} and Jung, {Da Jung} and Park, {Joo Hyun} and KoonHo Rha and Kim, {Sei Kwang} and Park, {Ki Hyun}",
year = "2006",
month = "1",
day = "1",
doi = "10.1007/s00192-005-0015-4",
language = "English",
volume = "17",
pages = "360--364",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",
number = "4",

}

Urinary tract injuries during pelvic surgery : Incidence rates and predisposing factors. / Bai, Sang Wook; Huh, Eun Ha; Jung, Da Jung; Park, Joo Hyun; Rha, KoonHo; Kim, Sei Kwang; Park, Ki Hyun.

In: International Urogynecology Journal, Vol. 17, No. 4, 01.01.2006, p. 360-364.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Urinary tract injuries during pelvic surgery

T2 - Incidence rates and predisposing factors

AU - Bai, Sang Wook

AU - Huh, Eun Ha

AU - Jung, Da Jung

AU - Park, Joo Hyun

AU - Rha, KoonHo

AU - Kim, Sei Kwang

AU - Park, Ki Hyun

PY - 2006/1/1

Y1 - 2006/1/1

N2 - Objective: To review the cases of urinary tract injury following major pelvic surgery that were treated in our hospital over the last 12 years, in relation to possible predisposing factors and incidence rates of injury arising in various surgical procedures. Materials and methods: From 8,824 major gynecological operations performed in our department, 29 cases of intraoperative urinary tract injury were found. Thirty eight patients visited the urology department during the same period for the management of urogenital fistula following pelvic surgery. Parameters that were examined included type of urinary tract injury, indication for surgery, type of operation, coexisting pathological conditions, past history of pelvic surgery or pelvic irradiation, and the delay in the recognition and management of the urinary tract injury. Results: The overall incidence of urinary tract injury in pelvic surgery was 0.33%. The incidence of urinary tract injury in radical hysterectomy was higher than that of total abdominal hysterectomy(0.76 vs 0.26%). Of the intraoperative urinary tract injuries, 48.4% coexisted pelvic pathologies. Of all the cases with urinary tract injury, the most common type of operation was total abdominal hysterectomy (n=45, 67.2%), and the most common indication was uterine myoma (n=25, 36.9%). The most common type of urinary tract injury was bladder injury, including bladder laceration and vesicovaginal fistula (n=57, 76.1%). The frequency of reoperation was found to be lower in patients with a shorter delay in the recognition of the injury (p<0.05). Conclusion: Possible predisposing factors for urinary tract injury are coexisting pelvic adhesion, distortion of normal pelvic configuration, previous irradiation history, previous operation history, and the extent of surgery. In high-risk patients, proper evaluation is needed to avoid urology complications before operation.

AB - Objective: To review the cases of urinary tract injury following major pelvic surgery that were treated in our hospital over the last 12 years, in relation to possible predisposing factors and incidence rates of injury arising in various surgical procedures. Materials and methods: From 8,824 major gynecological operations performed in our department, 29 cases of intraoperative urinary tract injury were found. Thirty eight patients visited the urology department during the same period for the management of urogenital fistula following pelvic surgery. Parameters that were examined included type of urinary tract injury, indication for surgery, type of operation, coexisting pathological conditions, past history of pelvic surgery or pelvic irradiation, and the delay in the recognition and management of the urinary tract injury. Results: The overall incidence of urinary tract injury in pelvic surgery was 0.33%. The incidence of urinary tract injury in radical hysterectomy was higher than that of total abdominal hysterectomy(0.76 vs 0.26%). Of the intraoperative urinary tract injuries, 48.4% coexisted pelvic pathologies. Of all the cases with urinary tract injury, the most common type of operation was total abdominal hysterectomy (n=45, 67.2%), and the most common indication was uterine myoma (n=25, 36.9%). The most common type of urinary tract injury was bladder injury, including bladder laceration and vesicovaginal fistula (n=57, 76.1%). The frequency of reoperation was found to be lower in patients with a shorter delay in the recognition of the injury (p<0.05). Conclusion: Possible predisposing factors for urinary tract injury are coexisting pelvic adhesion, distortion of normal pelvic configuration, previous irradiation history, previous operation history, and the extent of surgery. In high-risk patients, proper evaluation is needed to avoid urology complications before operation.

UR - http://www.scopus.com/inward/record.url?scp=33744830029&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33744830029&partnerID=8YFLogxK

U2 - 10.1007/s00192-005-0015-4

DO - 10.1007/s00192-005-0015-4

M3 - Review article

C2 - 16195819

AN - SCOPUS:33744830029

VL - 17

SP - 360

EP - 364

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

IS - 4

ER -