Early repair of iatrogenic injury to the ureter or bladder after gynecological surgery

Contrary to the traditional doctrine of delayed intervention in post-hysterectomy injuries of the ureter or bladder, the policy at our department has been to operate as soon as possible after the diagnosis is made. Of 68 patients (25 with vesicovaginal fistulas and 43 with ureteral injuries) early i...

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Bibliographic Details
Published in:	The Journal of urology Vol. 146; no. 3; p. 761
Main Authors:	Blandy, J P, Badenoch, D F, Fowler, C G, Jenkins, B J, Thomas, N W
Format:	Journal Article
Language:	English
Published:	United States 01-09-1991
Subjects:	Female Humans Hysterectomy - adverse effects Intraoperative Complications Methods Time Factors Ureter - injuries Ureter - surgery Urinary Bladder - injuries Urinary Bladder - surgery Urinary Incontinence - etiology Vesicovaginal Fistula - etiology Vesicovaginal Fistula - surgery
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Summary:	Contrary to the traditional doctrine of delayed intervention in post-hysterectomy injuries of the ureter or bladder, the policy at our department has been to operate as soon as possible after the diagnosis is made. Of 68 patients (25 with vesicovaginal fistulas and 43 with ureteral injuries) early intervention was possible in 40 (59%). Primary healing was obtained in all patients. These results suggest that there is no disadvantage in early repair.
ISSN:	0022-5347
DOI:	10.1016/S0022-5347(17)37915-6