Intraoperative complications of vaginal surgery

Gina A. Defreitas, Philippe E. Zimmern

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Approximately 70% of iatrogenic injuries to the genitourinary tract are not recognized at the time of operation (1). The long-term sequelae of these injuries include ureteral obstruction with loss of renal function and fistula formation. It is estimated that surgery for benign gynecologic conditions is responsible for 74% of genitourinary fistulas and over 90% of vesicovaginal fistulas in the United States (2). The vagina affords the urologist and urogynecologist an easily accessible, less morbid route for performing surgery to correct urinary incontinence and pelvic organ prolapse. But factors such as previous pelvic surgery, obesity, pelvic inflammatory disease, endometriosis, and pelvic irradiation can result in decreased organ mobility and impaired healing should an injury occur (3). The awareness of these risk factors for genitourinary injury, as well as the adoption of a few simple intraoperative precautions, can aid in their prevention and eventual recognition at the time of surgery. Early recognition of these injuries and proper postoperative management serve to decrease patient morbidity.

Original languageEnglish (US)
Title of host publicationVaginal Surgery for Incontinence and Prolapse
PublisherSpringer London
Pages231-239
Number of pages9
ISBN (Print)1852339128, 9781852339128
DOIs
StatePublished - 2006

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Intraoperative Complications
Wounds and Injuries
Fistula
Vesicovaginal Fistula
Pelvic Organ Prolapse
Ureteral Obstruction
Pelvic Inflammatory Disease
Gynecologic Surgical Procedures
Urinary Incontinence
Vagina
Endometriosis
Obesity
Morbidity
Kidney

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Defreitas, G. A., & Zimmern, P. E. (2006). Intraoperative complications of vaginal surgery. In Vaginal Surgery for Incontinence and Prolapse (pp. 231-239). Springer London. https://doi.org/10.1007/978-1-84628-346-8_18

Intraoperative complications of vaginal surgery. / Defreitas, Gina A.; Zimmern, Philippe E.

Vaginal Surgery for Incontinence and Prolapse. Springer London, 2006. p. 231-239.

Research output: Chapter in Book/Report/Conference proceedingChapter

Defreitas, GA & Zimmern, PE 2006, Intraoperative complications of vaginal surgery. in Vaginal Surgery for Incontinence and Prolapse. Springer London, pp. 231-239. https://doi.org/10.1007/978-1-84628-346-8_18
Defreitas GA, Zimmern PE. Intraoperative complications of vaginal surgery. In Vaginal Surgery for Incontinence and Prolapse. Springer London. 2006. p. 231-239 https://doi.org/10.1007/978-1-84628-346-8_18
Defreitas, Gina A. ; Zimmern, Philippe E. / Intraoperative complications of vaginal surgery. Vaginal Surgery for Incontinence and Prolapse. Springer London, 2006. pp. 231-239
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