[Ureteral and bladder lesions after gynecologic surgery. Value of early diagnosis].
Ureteric and bladder injuries are recognized complications of gynaecologic surgery. Efficiency of conservative treatments is directly related to early diagnosis. Urinary vaginal fistulas are easily diagnosed in view of post-operative continuous leakage. Ureteral or bladder obstructions can be quite asymptomatic and result in renal destruction or bladder impairment. Reviewing 17 cases, we emphasize abnormal post-operative pain and biological changes which must aware of urologic complications and lead to radiographic studies. Double-J stenting or bladder drainage associated with filling of fistula with fibrin sealant gives a chance of complete recovery to urogenital fistulas. Percutaneous nephrostomy or clean intermittent catheterisation preserves renal or bladder function until adequate treatment of obstruction has been defined.
Tostain
J
J
Département d'Urologie, Polyclinique de Beaulieu, Saint-Etienne.
D000328:Adult; D000368:Aged; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D014513:Ureter / Q000293:injuries*; D001743:Urinary Bladder / Q000293:injuries*; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy