Risk of bladder injury during vaginal hysterectomy in women with a previous cesarean section.
OBJECTIVE
To determine the risk of bladder injury during vaginal hysterectomy in women with a previous cesarean section.


METHODS
Analysis of selected studies found through a MEDLINE search from 1980 to 2003.


RESULTS
Four comparative studies (women with or without a previous cesarean section) were selected and analyzed. Risk of bladder injury was significantly increased in only 1 study. Analysis of cumulative data did not find a significant difference (8 of 430 [1.86%] vs. 11 of 1,227 [0.89%], p = 0.12).


CONCLUSIONS
The risk of bladder injury during vaginal hysterectomy does not seem to be increased in women with a previous cesarean section.
Agostini
Aubert
A
Department of Obstetrics and Gynecology, La Conception University Hospital, Marseille, France. aagostini@mail.ap-hm.fr
Vejux
Nadège
N
Colette
Emmanuelle
E
Bretelle
Florence
F
Cravello
Ludovic
L
Blanc
Bernard
B
D000328:Adult; D016022:Case-Control Studies; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000209:etiology*; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D001743:Urinary Bladder / Q000293:injuries*