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.
MeSH terms
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Adult
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Age Distribution
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Cohort Studies
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Female
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Follow-Up Studies
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Humans
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Hysterectomy / adverse effects*
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Hysterectomy / methods
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Incidence
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Intraoperative Complications / diagnosis
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Intraoperative Complications / epidemiology
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Middle Aged
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Neoplasm Invasiveness / pathology
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Neoplasm Staging
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Postoperative Complications / diagnosis
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Postoperative Complications / epidemiology
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Risk Assessment
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Survival Rate
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Ureter / injuries*
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Ureteral Diseases / diagnosis
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Ureteral Diseases / epidemiology
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Urinary Bladder / injuries*
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Urinary Fistula / diagnosis
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Urinary Fistula / epidemiology*
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Uterine Cervical Neoplasms / mortality
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Uterine Cervical Neoplasms / pathology
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Uterine Cervical Neoplasms / surgery*
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Vesicovaginal Fistula / diagnosis
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Vesicovaginal Fistula / epidemiology*
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Young Adult