title: The role of urologists in the management of urological injuries during obstetric and gynaecologic surgery.
abstract: OBJECTIVE
  We investigated the role of urologists in the management of urological injuries (UI) during obstetric and gynaecological (Ob&Gyn) surgery in a setup where endourological facilities were available intraoperatively.
  
  
  METHODS
  We retrospectively reviewed all such cases between January 2000 and December 2005.
  
  
  RESULTS
  Out of 13,010 procedures, urologists were involved in 98 patients (prophylactic ureteric stenting (n = 29) and involvement after the occurrence or suspicion of UI (n = 69)). There were 43 injuries (bladder, n = 32; ureter, n = 11). Four bladder and 10 ureteric injuries were only identified using endourological procedures. The incidence of UI in caesarean sections (lower segment caesarean sections (LSCS)) was higher than other procedures (0.46% vs. 0.19%, P < 0.01). There was no difference in the incidence of injuries in emergency vs. elective LSCS (0.42% vs. 0.65%, P = 0.24).
  
  
  CONCLUSIONS
  The availability of endourological facilities in the Ob&Gyn operating room facilitated the identification and management of UI especially ureteric injuries.
authors.affiliation: Department of Surgery, Faculty of Medicine and Health Sciences, UAE University, P.O. Box 17666, Al Ain, United Arab Emirates. fayez@mail2doctor.com
authors.forename: Fayez T
authors.initials: FT
authors.lastname: Hammad
authors.forename: Khaled M
authors.initials: KM
authors.lastname: AlQaiwani
authors.forename: Samir S
authors.initials: SS
authors.lastname: Shirodkar
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged; D013513:Obstetric Surgical Procedures; D010819:Physician's Role; D012189:Retrospective Studies; D014551:Urinary Tract / Q000293:injuries*; D014572:Urology; D055815:Young Adult
references.citation: Obstet Gynecol Surv. 2003 Dec;58(12):794-9
references.pmid: 14668660
references.citation: Obstet Gynecol. 1998 Jul;92(1):113-8
references.pmid: 9649105
references.citation: Saudi Med J. 2007 Jan;28(1):73-6
references.pmid: 17206294
references.citation: Obstet Gynecol. 1982 Nov;60(5):591-6
references.pmid: 7145252
references.citation: Obstet Gynecol. 1999 Nov;94(5 Pt 2):883-9
references.pmid: 10546778
references.citation: J Urol. 2004 Jul;172(1):196-9
references.pmid: 15201771
references.citation: Obstet Gynecol Clin North Am. 1999 Sep;26(3):469-80
references.pmid: 10472066
references.citation: Saudi Med J. 2003 Apr;24(4):365-8
references.pmid: 12754535
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jun;20(6):689-93
references.pmid: 19165412
references.citation: East Afr Med J. 2006 Feb;83(2):79-85
references.pmid: 16708878