Analysis of urologic complications after radical hysterectomy.
OBJECTIVE
Injuries of the ureter or bladder or development of vesicovaginal and ureterovaginal fistulas are the most serious complications in gynecological surgery.


METHODS
This study included 536 women who underwent radical hysterectomy because of invasive cancer of the cervix uteri.


RESULTS
During the surgery the ureter was injured in 1.32% of cases, whereas the percentage of bladder injuries was 1.49. In the early postoperative period vesicovaginal or ureterovaginal fistulas appeared in 2.61% and 2.43% of cases, respectively.


CONCLUSIONS
The stage of the disease, obesity, diabetes, and postoperative surgical infection acted as predisposing factors of the urinary tract complications.
Likic
Ivana S
IS
Institute of Gynecology and Obstetrics, Clinical Centre of Serbia, Belgrade, Serbia.
Kadija
Sasa
S
Ladjevic
Nebojsa G
NG
Stefanovic
Aleksandar
A
Jeremic
Katarina
K
Petkovic
Spasoje
S
Dzamic
Zoran
Z
D000328:Adult; D017677:Age Distribution; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D015994:Incidence; D007431:Intraoperative Complications / Q000175:diagnosis / Q000453:epidemiology; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology; D018570:Risk Assessment; D015996:Survival Rate; D014513:Ureter / Q000293:injuries*; D014515:Ureteral Diseases / Q000175:diagnosis / Q000453:epidemiology; D001743:Urinary Bladder / Q000293:injuries*; D014548:Urinary Fistula / Q000175:diagnosis / Q000453:epidemiology*; D002583:Uterine Cervical Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000175:diagnosis / Q000453:epidemiology*; D055815:Young Adult