Home Articles & Issues Published Ahead-of-Print CME Collections ABOG MOC II Podcasts Videos Journal Info
Skip Navigation LinksHome > November 1982 - Volume 60 - Issue 5 > Urinary Tract Injury During Cesarean Section
Obstetrics & Gynecology:
Original Article: PDF Only

Urinary Tract Injury During Cesarean Section

EISENKOP, SCOTT M. MD; RICHMAN, ROBIN MD; PLATT, LAWRENCE D. MD; PAUL, RICHARD H. MD

Collapse Box

Abstract

Lower urinary tract injury at the time of cesarean section is an uncommon complication. During a 5-year period, the incidence of bladder and ureter injuries at the Los Angeles County/University of Southern California Medical Center was.31 and.09%, respectively. When bladder injury occurs, it usually is due to surgical difficulty encountered while developing the bladder flap over the lower uterine segment. The difficulty is caused usually by scar tissue from previous surgery. Ureteral injury is a rare complication of cesarean section. It is attributable most often to ureteral transection or ligation associated with uterine incision extensions in the lower uterine segment or the vagina, and to attempts to achieve hemostasis. The data presented in this report indicate that cystotomy, when adequately repaired, is not associated with any complications. Furthermore, diagnostic cystotomy with intravenous injection of indigo carmine is a rapid, safe method of evaluating ureteral patency.

(C) 1982 The American College of Obstetricians and Gynecologists

Login

Article Tools

Share