Incidence, risk factors and morbidity of unintended bladder or ureter injury during hysterectomy

M. E. Carley, D. McIntire, J. M. Carley, J. Schaffer

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

To determine the incidence, risk factors and morbidity of unintended operative injury to the bladder or ureter during hysterectomy, a retrospective case-control study of women with these injuries from 1 January 1993 to 1 January 1998 was performed. The incidence of bladder and ureter injury, respectively, was 0.58% and 0.35% for abdominal hysterectomy, 1.86% and 0% for vaginal hysterectomy, and 5.13% and 1.71% for hysterectomies performed for obstetric indications. Women with injury during abdominal hysterectomy were found to have greater blood loss, longer operative times, longer postoperative stays, more febrile morbidity, and more frequent transfusions. Similar trends were seen for other hysterectomy types. The incidence of operative bladder or ureter injury is relatively low. However, even when recognized, these individuals experience greater operative and postoperative morbidity. This highlights the importance of surgical technique directed toward minimization of these injuries, and careful intra- and postoperative surveillance aimed at early detection.

Original languageEnglish (US)
Pages (from-to)18-21
Number of pages4
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume13
Issue number1
DOIs
StatePublished - 2002

Fingerprint

Ureter
Hysterectomy
Urinary Bladder
Morbidity
Incidence
Wounds and Injuries
Vaginal Hysterectomy
Abdominal Injuries
Operative Time
Obstetrics
Case-Control Studies
Fever

Keywords

  • Bladder
  • Hysterectomy
  • Injury
  • Operative
  • Ureter

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

Cite this

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abstract = "To determine the incidence, risk factors and morbidity of unintended operative injury to the bladder or ureter during hysterectomy, a retrospective case-control study of women with these injuries from 1 January 1993 to 1 January 1998 was performed. The incidence of bladder and ureter injury, respectively, was 0.58{\%} and 0.35{\%} for abdominal hysterectomy, 1.86{\%} and 0{\%} for vaginal hysterectomy, and 5.13{\%} and 1.71{\%} for hysterectomies performed for obstetric indications. Women with injury during abdominal hysterectomy were found to have greater blood loss, longer operative times, longer postoperative stays, more febrile morbidity, and more frequent transfusions. Similar trends were seen for other hysterectomy types. The incidence of operative bladder or ureter injury is relatively low. However, even when recognized, these individuals experience greater operative and postoperative morbidity. This highlights the importance of surgical technique directed toward minimization of these injuries, and careful intra- and postoperative surveillance aimed at early detection.",
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AU - Carley, J. M.

AU - Schaffer, J.

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AB - To determine the incidence, risk factors and morbidity of unintended operative injury to the bladder or ureter during hysterectomy, a retrospective case-control study of women with these injuries from 1 January 1993 to 1 January 1998 was performed. The incidence of bladder and ureter injury, respectively, was 0.58% and 0.35% for abdominal hysterectomy, 1.86% and 0% for vaginal hysterectomy, and 5.13% and 1.71% for hysterectomies performed for obstetric indications. Women with injury during abdominal hysterectomy were found to have greater blood loss, longer operative times, longer postoperative stays, more febrile morbidity, and more frequent transfusions. Similar trends were seen for other hysterectomy types. The incidence of operative bladder or ureter injury is relatively low. However, even when recognized, these individuals experience greater operative and postoperative morbidity. This highlights the importance of surgical technique directed toward minimization of these injuries, and careful intra- and postoperative surveillance aimed at early detection.

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