Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Urinary tract injuries after hysterectomy

P Härkki-Sirén1, J Sjöberg, A Tiitinen

  • 1Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Finland.

Obstetrics and Gynecology
|July 2, 1998
PubMed
Summary

Laparoscopic hysterectomy shows a higher risk of ureteral injury compared to traditional abdominal and vaginal hysterectomies. Bladder injuries, particularly fistulas, also occur more frequently with laparoscopic procedures.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Growth of singletons born after frozen embryo transfer until early adulthood: a Finnish register study.

Human reproduction (Oxford, England)·2024
Same author

Health of singletons born after frozen embryo transfer until early adulthood: a Finnish register study.

Human reproduction (Oxford, England)·2022
Same author

Puberty disorders among ART-conceived singletons: a Nordic register study from the CoNARTaS group.

Human reproduction (Oxford, England)·2022
Same author

Adolescent attachment to parents and peers in singletons and twins born with assisted and natural conception.

Human reproduction open·2022
Same author

Stress urinary incontinence after hysterectomy: a 10-year national follow-up study.

Archives of gynecology and obstetrics·2022
Same author

Probability of live birth after IVF/ICSI treatments in female early onset cancer survivors: a Finnish population-based registry study.

Human reproduction (Oxford, England)·2021

Area of Science:

  • Gynecologic surgery outcomes
  • Urologic injury surveillance
  • Patient safety in hysterectomy

Background:

  • Hysterectomy is a common gynecologic procedure.
  • Urinary tract injuries are potential complications of hysterectomy.
  • Understanding injury rates across different hysterectomy types is crucial for patient safety.

Purpose of the Study:

  • To determine the nationwide incidence and characteristics of urinary tract injuries following various hysterectomy approaches.
  • To compare the risks of ureteral and bladder injuries between laparoscopic, abdominal, and vaginal hysterectomy.
  • To analyze factors associated with these injuries, including operative difficulties and repair success.

Main Methods:

  • Retrospective analysis of 142 urinary tract injuries reported to the National Patient Insurance Association in Finland (1990-1995).

Related Experiment Videos

  • Data linked with the Finnish Hospital Discharge Register for 62,379 hysterectomies.
  • Evaluation of injury incidence, operative difficulties, primary repair failure rates, and convalescence times for different hysterectomy types.

    • Main Results:

    • Overall ureteral injury incidence was 1.0/1000 procedures, significantly higher after laparoscopic (13.9/1000) versus abdominal or vaginal hysterectomy.
    • Bladder injury incidence was 1.3/1000, with vesicovaginal fistula occurring at 0.8/1000, also elevated after laparoscopic hysterectomy (2.2/1000).
    • Laparoscopic hysterectomy was associated with increased operative difficulties and longer convalescence for both ureteral and bladder injuries compared to other methods.

    Conclusions:

    • Laparoscopic hysterectomy is associated with a higher risk of ureteral injury compared to traditional abdominal and vaginal hysterectomy.
    • The incidence of bladder injuries, including vesicovaginal fistulas, is also greater after laparoscopic hysterectomy.
    • These findings highlight the need for heightened awareness and potentially modified surgical techniques to mitigate urinary tract injury risk during laparoscopic hysterectomy.