Transient large urinoma following hysterectomy
Nadine Becuzzi1, Samantha Scherman, Ajay Rane
1Pelvic Health, Mater Misericordiae Hospital Townsville, P.O. Box 1417, Thuringowa Central, 4817, QLD, Australia, nadine.becuzzi@gmail.com.
International Urogynecology Journal
|June 28, 2014
Summary
A very large urinoma developed after vaginal surgery. Conservative management with catheter drainage led to complete resolution, highlighting the importance of early detection of urinary tract injuries.
Area of Science:
- Urology
- Gynecologic Surgery
Background:
- Urinary tract injuries are a potential complication of vaginal surgery.
- Early detection and management are crucial for patient outcomes.
Observation:
- A 59-year-old woman developed a massive urinoma (30.5 x 23 x 12 cm) one day post-vaginal hysterectomy and prolapse repair.
- The urinoma was successfully managed with trans-abdominal catheter drainage.
Findings:
- Large urinomas following vaginal surgery can be managed conservatively.
- Trans-abdominal catheter drainage is an effective treatment for significant urinomas.
Implications:
- This case underscores the need for vigilance regarding urinary tract injuries after gynecologic procedures.
- Prompt diagnosis and appropriate intervention, even conservative, can lead to favorable outcomes.
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