Overview of Intraoperative Injuries of the Urinary Tract System during Caesarean section

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Ali El-Shabrawy Ali, Wael Sabry Noseir , Ahmed Ismail Mohamed, Basma El-Sayed Kamar


Intraoperative Injuries; Caesarean section; Urinary Tract injury


Urologic injury is the most common injury at the time of either obstetric or gynecologic surgery, with the bladder being the most frequent organ damaged. Risk factors for bladder injury during cesarean section include previous cesarean delivery, adhesions, emergent cesarean delivery, and cesarean section performed at the time of the second stage of labor.  Most bladder injuries are recognized at the time of surgery, which is important, as quick recognition and repair are associated with a significant reduction in patient mortality. Although cesarean delivery is a cornerstone of obstetrics, there is a paucity of data in the literature either supporting or refuting specific techniques that are performed today. Damage to the urinary tract, which is a complication of caesarean section, is rarely described in the literature. There is also no evidence that supports the creation of a bladder flap, although routinely performed during cesarean section, as a method to reduce the risk of bladder injury.

Therefore, the aim of the present study was to evaluate the factors, diagnosis and treatment of the urinary tract injury during caesarean section.

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