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A multidisciplinary approach to urinary system iatrogenic injuries
Vladimir Beloborodov1, Vladimir Vorobev1, Igor Golub1
1Department of General Surgery and Anesthesiology, Irkutsk State Medical University, Irkutsk, Russian Federation.
Central European Journal of Urology
|February 8, 2021
Summary
Iatrogenic injuries to the urinary system are significant and difficult to treat. Improving interdisciplinary collaboration and identifying/correcting procedural errors can help prevent these surgical complications.
Area of Science:
- Urology
- Surgical Complications
- Patient Safety
Background:
- Iatrogenic injuries to the urinary system arise from urological, obstetric-gynecological, and retroperitoneal/pelvic/perineal surgeries.
- These injuries have significant negative consequences that are challenging to resolve.
Purpose of the Study:
- To analyze iatrogenic urinary system injuries.
- To develop injury prevention algorithms.
- To evaluate multidisciplinary approaches in surgery.
Main Methods:
- An interdisciplinary research approach was employed.
- Included a prospective, single-centre study of 476 patients with urinary system iatrogenic injuries.
- Incorporated four interregional and international procedural research types.
Main Results:
- Interdisciplinary interaction improved diagnostic accuracy, patient evaluation, treatment planning, and patient satisfaction.
- A common procedural error in urethral catheterization was identified as a risk factor for urethral strictures and urinary tract infections.
- Urinary system injuries are highly significant and lead to persistent complications.
Conclusions:
- Complex procedures increase the likelihood of urinary system iatrogenic injuries.
- Lack of standardized algorithms and procedural errors contribute to these injuries.
- Enhanced interdisciplinary collaboration and error identification/elimination are crucial for prevention.
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