Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Urological trauma following gynecological or obstetrical surgeries presents a significant concern, particularly in settings with limited resources, where its prevalence remains inadequately documented and posing substantial health challenges. This study aims to investigate the clinical, therapeutic and prognostic dimensions of iatrogenic urological injuries. A retrospective, descriptive analysis was conducted at a tertiary health care hospital in India. The study encompassed all gynecological surgical procedures performed within the department, with exclusive focus on Urinary Tract Injuries (UTI) occurring during surgery. UTIs arising outside this context were excluded. Socio‐demographic characteristics, clinical manifestations, intraoperative UTI presentations and treatment outcomes were analyzed. Statistical analyses were performed utilizing Epi Info 6 software. A total of 56 cases of UTI (6.02%) were documented, comprising bladder and combined bladder and ureteral injuries. The mean age of patients was 28.75 years. UTIs were suspected intraoperatively based on hematuria or direct visualization and postoperatively from peritonitis symptoms. Prompt repair of UTIs was performed in the majority of cases, primarily through bladder suturing or cystorrhaphy. Postoperative complications included urogenital fistulas, urinary tract infections and acute peritonitis. The average hospitalization duration in the urology department was 39 ± 6 days, with no maternal fatalities reported. While urologic complications arising from gynecologic procedures may be inevitable at times, adherence to standardized surgical protocols can mitigate their occurrence. Tailored treatment strategies should be based on injury location, extent and available surgical interventions.
How to cite this article:
Nishi Mishra, Amita Sharma, Rohit Dubey and Namrata Shrivastava. Urosurgical Complications Following Gynecological Surgeries at an Indian Hospital: A Retrospective Analysis.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.338.342
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.338.342