title: Urinary complications of gynecologic surgery: iatrogenic urinary tract system injuries in obstetrics and gynecology operations.
abstract: OBJECTIVE
  To evaluate iatrogenic urinary tract system injuries in obstetrics and gynecology operations and compare the results with the literature.
  
  
  METHODS
  We examined the records of patients who had obstetric and gynecology operations at the Ministry of Health, Dr. Zekai Tahir Burak Women's Health, Training and Research Hospital between June 2007 and June 2010. All the patients who were diagnosed as having urinary system injuries in either the intraoperative or postoperative period were determined.
  
  
  RESULTS
  During this period, 25,998 gynecologic and obstetrical operations were performed, 0.03% ureteric, 0.20% bladder, and one case of urethral injury, in a total of 0.24% urinary tract injuries were observed. The bladder was the most frequently injured organ. Total urinary tract injury rates were 0.79% (0.49% bladder, 0.24% ureteral) in gynecologic operations and 0.19% (0.18% bladder and 0.01% ureteral) in obstetric operations.
  
  
  CONCLUSIONS
  Urinary system injuries are seen in approximately 1% of all gynecologic and obstetric surgeries. The complication rates observed in our patients were comparable with the other studies in the literature. A gynecologic surgeon must become familiar with the anatomy of the urinary tract and must be aware of common intraoperative and postoperative complications to decrease the risk of morbidity.
authors: Department of Urology, Dr. Zekai Tahir Burak Women's Health Educaion & Research Hospital, Ankara, Turkey.
authors: E
authors: E
authors: Ozdemir
authors: U
authors: U
authors: Ozturk
authors: S
authors: S
authors: Celen
authors: A
authors: A
authors: Sucak
authors: M
authors: M
authors: Gunel
authors: G
authors: G
authors: Guney
authors: M A
authors: MA
authors: Imamoglu
authors: A N
authors: AN
authors: Danisman
mesh_terms: D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D013513:Obstetric Surgical Procedures / Q000009:adverse effects*; D014551:Urinary Tract / Q000293:injuries*; D014719:Vesicovaginal Fistula / Q000209:etiology; D055815:Young Adult