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Published on: May 19, 2022
Analysis of urologic complications after radical hysterectomy
Ivana S Likic1, Sasa Kadija, Nebojsa G Ladjevic
1Institute of Gynecology and Obstetrics, Clinical Centre of Serbia, Belgrade, Serbia.
Objective:
Injuries of the ureter or bladder or development of vesicovaginal and ureterovaginal fistulas are the most serious complications in gynecological surgery.
Study Design:
This study included 536 women who underwent radical hysterectomy because of invasive cancer of the cervix uteri.
Results:
During the surgery the ureter was injured in 1.32% of cases, whereas the percentage of bladder injuries was 1.49. In the early postoperative period vesicovaginal or ureterovaginal fistulas appeared in 2.61% and 2.43% of cases, respectively.
Conclusion:
The stage of the disease, obesity, diabetes, and postoperative surgical infection acted as predisposing factors of the urinary tract complications.
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