Conservative management of postoperatively diagnosed cystotomy

Area of Science:

• Urology
• Gynecologic Surgery

Background:

• Bladder injury is a frequent complication of hysterectomy, frequently unrecognized during the initial procedure.
• Surgical repair is the standard treatment for intraperitoneal cystotomy.

Observation:

• This case series introduces a conservative management approach for post-hysterectomy bladder injuries.
• Three cases of unrecognized post-hysterectomy cystotomy were treated non-operatively.

Findings:

• Assisted bladder drainage led to complete healing in all observed cases.
• This conservative method eliminated the need for surgical intervention.

Implications:

• Conservative management with bladder drainage should be considered for selected patients with post-hysterectomy cystotomy.
• This approach may reduce surgical morbidity and healthcare costs.