title: [Lower urinary trauma complicating gyneacologic and obstetrical surgery].
abstract: BACKGROUND
  The trauma of the lower urinary tract in gynecologic and obstetrics surgery is rare.
  
  
  OBJECTIVE
  Discover the circonstances of their happening, their symptoms, and their methods of diagnostic and their treatment.
  
  
  METHODS
  Authors report 24 cases observed over a 12 years period.
  
  
  RESULTS
  These lesions consisted on 20 bladder lesions and 4 ureteric lesions. The frequency of these urological complications was 0.21% among the 12000 surgical operations performed between 1992 and 2003. The most causal operation was caesarean and abdominal hysterectomy. Urinary trauma was more frequent in patients with history of abdominal surgery. Post operative course was uneventful in most cases.
  
  
  CONCLUSIONS
  Trauma of the lower urinary tract in gynecologic and obstetrics surgery is rare but their ignorance may seriously affect the functional urinary prognostics.
authors.affiliation: Service de gynécologie-obstétrique Hôpital Militaire de Tunis.
authors.forename: Fethi
authors.initials: F
authors.lastname: Messaoudi
authors.forename: Samia
authors.initials: S
authors.lastname: Ben Jemaa
authors.forename: Mohsen
authors.initials: M
authors.lastname: Yazidi
authors.forename: Sonia
authors.initials: S
authors.lastname: El Housseini
authors.forename: Mohamed
authors.initials: M
authors.lastname: Basly
authors.forename: Najib
authors.initials: N
authors.lastname: Sbai
authors.forename: Houcine
authors.initials: H
authors.lastname: Zayene
authors.forename: Lotfi
authors.initials: L
authors.lastname: Messaoudi
authors.forename: Mounir
authors.initials: M
authors.lastname: Chibani
authors.forename: Radhouane
authors.initials: R
authors.lastname: Rachdi
authors.forename: Faouzi
authors.initials: F
authors.lastname: Ghozzi
authors.forename: Naoufel
authors.initials: N
authors.lastname: Mrissa
mesh_terms: D000293:Adolescent; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D013513:Obstetric Surgical Procedures; D012189:Retrospective Studies; D014513:Ureter / Q000293:injuries*; D001743:Urinary Bladder / Q000293:injuries*