Urological Science

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 29  |  Issue : 1  |  Page : 12--19

Management of urinary tract injuries following total hysterectomy: A single-hospital experience


Chao-Yu Hsu1, Kim-Seng Law2, Hao-Ping Tai1, Hsiang-Lai Chen1, Siu-San Tse1, Zhon-Min Huang1, Wei-Chun Weng1, Li-Hua Huang1, I-Yen Lee1, Min-Che Tung1 
1 Divisions of Urology, Department of Surgery, Tungs' Taichung Metro Harbor Hospital, Taichung, Taiwan
2 Department of Obstetrics and Gynecology, Tungs' Taichung Metro Harbor Hospital, Taichung, Taiwan

Correspondence Address:
Chao-Yu Hsu
Tungs' Taichung MetroHarbor Hospital, Taichung
Taiwan

Objective: This study elaborated on the clinical experience of patients who underwent urologic management due to urologic complications after receiving a total hysterectomy at a regional hospital. Materials and methods: A total of 696 female patients received the four types of total hysterectomy including total abdominal hysterectomy, transvaginal hysterectomy, lapaparoscopic hysterectomy or robotic hysterectomy for variant gynecologic pathologies. Only 22 cases (3.2%) had urologic procedures performed during or after the operations from 2012/1/1 to 2016/6/30. Results: Of the 22 cases, thirteen (1.9%) received a series of conservative managements only, including cystoscopy, ureteroscopy, endoscopic ureterotomy, ureteral catheterization or double J stenting during the follow-up period. Nine more complicated cases (1.3%) eventually had definitive management, including repair of the urinary bladder rupture, repair of the vesicovaginal fistula, ureteroureterostomy or ureteroneocystostomy. However, five of these nine cases had both conservative and definitive management. The mean delay interval between the initial management and gynecologic procedure was 19.3 days. For definitive management and the gynecologic procedure, the period was 52.8 days. Conclusions: Compared to previous studies, the incidence of urologic injuries following a total hysterectomy in our hospital was similar. From the paper review, it seems early recognition does not improve the outcome but we found a 100% good outcome in patients with definitive management. Copyright © 2017, Taiwan Urological Association. Published by Elsevier Taiwan LLC. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).


How to cite this article:
Hsu CY, Law KS, Tai HP, Chen HL, Tse SS, Huang ZM, Weng WC, Huang LH, Lee IY, Tung MC. Management of urinary tract injuries following total hysterectomy: A single-hospital experience.Urol Sci 2018;29:12-19


How to cite this URL:
Hsu CY, Law KS, Tai HP, Chen HL, Tse SS, Huang ZM, Weng WC, Huang LH, Lee IY, Tung MC. Management of urinary tract injuries following total hysterectomy: A single-hospital experience. Urol Sci [serial online] 2018 [cited 2021 Jul 30 ];29:12-19
Available from: https://www.e-urol-sci.com/article.asp?issn=1879-5226;year=2018;volume=29;issue=1;spage=12;epage=19;aulast=Hsu;type=0