Urological Injuries during Cesarean Section: Retrospective Cohort Study.

تتناول المقالة دراسة استعادية على مجموعة من المرضى حول انتشار وعوامل خطر الإصابات البولية خلال عمليات الولادة القيصرية (CS) في مستشفيات جامعة الزقازيق في مصر. من خلال تحليل 73 مريضًا على مدى خمس سنوات، وجدت الدراسة أن معدل الحدوث هو 0.3%، حيث كانت إصابات المثانة هي الأكثر شيوعًا. وتبرز الدراسة أن المرضى الذين خضعوا لعمليات ولادة قيصرية سابقة معرضون لزيادة خطر إصابات المثانة، خاصة خلال الإجراءات التي تتضمن تفكيك الالتصاقات والتوسعات الجانبية. وتؤكد الدراسة على الحاجة إلى نهج متعدد التخصصات لإدارة هذه المضاعفات بشكل فعال، بهدف تحسين نتائج المرضى في رعاية التوليد. [Extracted from the article]

Background: Urinary tract injuries during cesarean sections are one of the most common complications. Bladder injuries are more frequent than ureteric injuries. Of all the ureteric injuries, only one-third are discovered during cesarean sections, and the majority of urinary tract injuries are discovered during surgery. The study aims to determine the prevalence of urinary tract injuries during cesarean section and identify the risk factors causing these complications, their management, and their outcomes. Methods: This retrospective cohort study was conducted on 73 patients who underwent cesarean section complicated with urological injuries in Zagazig University hospitals in the last five years. We reviewed all medical records of deliveries from the Obstetrics and Gynecology Department Faculty of Medicine, Zagazig University Hospital, Egypt between January 2017 and December 2021. Results: The incidence of urological injuries during CS was 0.3%. Fortyfive (61.6%) patients had only a surgical history of previous CS and 20 (27.4%) patients had other surgical histories rather than CS (appendectomy, cholecystectomy, or hernia repair). There were 12 (16.4%) patients who had grade 3 bladder injuries, 54 (74%) patients who had grade 4 bladder injuries, and 7 (9.6%) patients who had grade 5 bladder injuries. Conclusion: Despite the significant increase in the prevalence of CS, the incidence of urologic injury at the surgery (0.3%) was comparable to earlier literature studies. Our research indicates that patients with a history of CS have an increased risk of bladder injury. [ABSTRACT FROM AUTHOR]

Copyright of Zagazig University Medical Journal is the property of Association of Arab Universities and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)