Paper Information

Title: 

"COMMON URINARY COMPLICATIONS AFTER GYNECOLOGIC SURGERY"

Type: PAPER
Author(s): KESHVARI MALIHEH*,HAFIZI LEILA
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PROPOSE: ONE OF COMMON COMPLICATIONS AFTER GYNECOLOGIC SURGERY, IS URINARY COMPLICATIONS. IT WILL PROCEED A HIGH LEVEL OF SUCCESS IF THE METHODS OF DIAGNOSIS, PREVENTION AND TREATMENT WERE DONE CORRECTLY.
METHODS & MATERIALS: DURING 2000-2002, 5225 PATIENTS BETWEEN 23-70 YEARS OLD (WITH AVERAGE OLD OF 28) WENT UNDER GYNECOLOGIC SUCH AS CAESAREAN SECTION (4826 CASES), ABDOMINAL HYSTRECTOMY (357 CASES), VAGINAL HYSTRECTOMY (76 CASES), RADICAL HYSTRECTOMY (5 CASES) CAESAREAN AND HYSTRECTOMY (12 CASES), THAT 91 CASES (1.7%) COMPLICATED WITH URINARY INFECTION (75 CASES), UNILATERAL LIGATURE OF URETER (3 CASES), BILATERAL LIGATURE OF URETER (1 CASE), UNIRARY RETENTION (12 CASES), BLADDER TRAUMA (12 CASES) GENITO URINARY FISTULA (9 CASES) (6 CASES WERE VESICO VAGINAL AND 3 CASES WERE URETERO VAGINAL).
RESULTS: THE PATIENTS WITH URINARY INFECTION WERE TREATED BY ANTIBIOTICS AND THE PATIENTS WITH RETENTION WERE TREATED BY CONSERVATIVE TREATMENT (SONDAGE AND BETANECOLE). IN THE CASE WITH BILATERAL LIGATURE WE OPERATE AND PUT DJ AND IN THE OTHER CASES PERCUTANEUS NEPHROSTOMY AND AFTER THAT REIMPLANTATION WERE DONE WITHIN 2-3 MONTHS. IN 10 CASES WITH BLADDER TRAUMA WE FOUND THAT DURING THE SURGERY AND REPAIRED IT AND IN 2 CASES THAT WE FOUND AFTER THE SURGERY, BLADDER SONDAGE WERE DONE THAT FORTUNATELY 2 WEEKS LATER WERE NOT LEAKAGE SEEN IN CYSTOGRAPHY. GENITO URINARY FISTULAS WERE TREATED AFTER 2-3 MONTHS AND SUCCEEDED RESULTS WERE REPORTED.
DISCUSSION & CONCLUSION: WE HAVE 100% OF SUCCEED IN TREAT OF COMPLICATIONS IN OUR PATIENTS. THE PROPER PREVENTION AFTER AND DURING THE SURGERY WERE CONSIST OF: 1) PUTTING THE URETERAL STENT BEFORE THE MAJOR GYNECOLOGIC SURGERIES 2) COMPLETE EVALUATION OF URETER AND BLADDER AT THE END OF SURGERY AND IN THE SUSPECT TO INJURY, USING OF BLUEDO METHYLENE 3) EXACT EVALUATION OF THE PATIENTS AFTER THE SURGERY BY HEMATURIA, FEVER, FLANK PAIN, ILEUS AND INFECTION AND IN THE CASE OF SUSPECT OF TRAUMA DOING IVP, RETRO GRADE PYELOGRAPHY AND CYSTOGRAPHY WERE DONE. 4) ENCOURAGING TO TIMED VOIDING AND IF COMPLICATIONS EXECUTE TREATMENT BY PROPER TECHNIQUES WILL BE DONE AND WE HAVE TO COMPLETE TREATMENT OF THE COMPLICATIONS IN MOST OF THE PATIENTS.

 
Keyword(s): UROLOGIC COMLICATION, GINECOLOGIC SURGERY
 
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