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. 2008 Dec;199(6):644.e1-3.
doi: 10.1016/j.ajog.2008.06.034. Epub 2008 Aug 22.

Analysis of urologic complications after radical hysterectomy

Ivana S Likic  1 , Sasa Kadija, Nebojsa G Ladjevic, Aleksandar Stefanovic, Katarina Jeremic, Spasoje Petkovic, Zoran Dzamic
Affiliations

Analysis of urologic complications after radical hysterectomy

Ivana S Likic et al. Am J Obstet Gynecol. 2008 Dec.

Abstract

Objective: Injuries of the ureter or bladder or development of vesicovaginal and ureterovaginal fistulas are the most serious complications in gynecological surgery.

Study design: This study included 536 women who underwent radical hysterectomy because of invasive cancer of the cervix uteri.

Results: During the surgery the ureter was injured in 1.32% of cases, whereas the percentage of bladder injuries was 1.49. In the early postoperative period vesicovaginal or ureterovaginal fistulas appeared in 2.61% and 2.43% of cases, respectively.

Conclusion: The stage of the disease, obesity, diabetes, and postoperative surgical infection acted as predisposing factors of the urinary tract complications.

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