[Urological analysis of treatment and survival after gynecological operation:study of 23 cases]

The urological treatment and analysis of 23 patients with urological disorders after gynecological operation during the past three years were studied. Primary trauma of ureter, bladder and other urological organs that was caused by gynecological operation occurred in 6 cases (26%) consisting of 3 malignant tumor cases, and 3 benign tumor cases. Injured organs were 4 cases of ureter and 2 cases of bladder. Reconstruction of ureter and ureterovesical implantation were performed to all those patients except one who suffered from schizophrenia, and these operations brought favorable results. Secondary trauma that caused urological disorder after gynecological operation was found in 17 cases (74%), all of which were induced by radical operation against malignant tumors. The symptoms were uremia, abdominal pain, vesicovaginal fistula, severe bladder bleeding with poor general condition. In most cases, uretero-cutaneostomy was performed as emergency measures, and recontruction of ureter was possible in 3 cases. It is presumed that urological operation for secondary damage is favorable, since only one patient died of uremia.