[Lower urinary trauma complicating gyneacologic and obstetrical surgery].
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.
Messaoudi
Fethi
F
Service de gynécologie-obstétrique Hôpital Militaire de Tunis.
Ben Jemaa
Samia
S
Yazidi
Mohsen
M
El Housseini
Sonia
S
Basly
Mohamed
M
Sbai
Najib
N
Zayene
Houcine
H
Messaoudi
Lotfi
L
Chibani
Mounir
M
Rachdi
Radhouane
R
Ghozzi
Faouzi
F
Mrissa
Naoufel
N
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*