title: Risk of bladder injury during vaginal hysterectomy in women with a previous cesarean section.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, La Conception University Hospital, Marseille, France. aagostini@mail.ap-hm.fr
authors.forename: Aubert
authors.initials: A
authors.lastname: Agostini
authors.forename: Nadège
authors.initials: N
authors.lastname: Vejux
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Colette
authors.forename: Florence
authors.initials: F
authors.lastname: Bretelle
authors.forename: Ludovic
authors.initials: L
authors.lastname: Cravello
authors.forename: Bernard
authors.initials: B
authors.lastname: Blanc
mesh_terms: 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*