[Analysis of urinary tract injury during gynecological surgery performed with preoperative ureter catheterization or
M Szpakowski1, T Kamiński, J R Wilczyński
1Katedry Połoznictwa i Ginekologii WAM w łodzi.
Design:
To analyze urinary tract injuries during gynecological surgery performed with preoperative ureter catheterization or intraoperative ureter control.
Material And Methods:
Retrospective analysis of 1986 chosen gynecological operations performed between 1990-1998 in Dept. of Gynecological Surgery Polish Mother's Health Center Institute.
Results:
The overall frequency of urinary injuries was 2.15%. It was less during gynecological surgery performed with ureter catheterization compared to intraoperative ureter control only (ureter: 0.30% vs. 0.55%, p = 0.22; urinary bladder: 0.40% vs. 0.90%, p < 0.05).
Conclusion:
1/ urinary injury was twice as frequent during ureter control than during ureter catheterization, 2/ urinary injury was the most frequent complication during hysterectomy with adnexa, 3/ the results of our analysis should be treated as a vote "for" ureter catheterization before gynecological surgery.
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