Affordable Access

Publisher Website

Urinary Tract Injuries in Laparoscopic Hysterectomy: A Systematic Review

Authors
Publisher
Elsevier Inc.
Identifiers
DOI: 10.1016/j.jmig.2014.01.006
Keywords
  • Cystoscopy
  • Gynecologic
  • Laparoscopic
  • And Robotic Surgery
  • Ureteral
  • Bladder
  • And Urinary Tract Injury
  • Urinary Tract Fistula
Disciplines
  • Ecology
  • Medicine

Abstract

Abstract The aim of this review was to estimate the incidence of urinary tract injuries associated with laparoscopic hysterectomy and describe the long-term sequelae of these injuries and the impact of early recognition. Studies were identified by searching the PubMed database, spanning the last 10 years. The key words “ureter” or “ureteral” or “urethra” or “urethral” or “bladder” or “urinary tract” and “injury” and “laparoscopy” or “robotic” and “gynecology” were used. Additionally, a separate search was done for “routine cystoscopy” and “gynecology.” The inclusion criteria were published articles of original research referring to urologic injuries occurring during either laparoscopic or robotic surgery for gynecologic indications. Only English language articles from the past 10 years were included. Studies with less than 100 patients and no injuries reported were excluded. No robotic series met these criteria. A primary search of the database yielded 104 articles, and secondary cross-reference yielded 6 articles. After reviewing the abstracts, 40 articles met inclusion criteria and were reviewed in their entirety. Of those 40 articles, 3 were excluded because of an inability to extract urinary tract injuries from total injuries. Statistical analysis was performed using a generalized linear mixed effects model. The overall urinary tract injury rate for laparoscopic hysterectomy was 0.73%. The bladder injury rate ranged from 0.05% to 0.66% across procedure types, and the ureteral injury rate ranged from 0.02% to 0.4% across procedure type. In contrast to earlier publications, which cited unacceptably high urinary tract injury rates, laparoscopic hysterectomy appears to be safe regarding the bladder and ureter.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Recommendations to Prevent Urinary Tract Injuries...

on Journal of Minimally Invasive... Jan 01, 2011

Urinary tract injuries after hysterectomy.

on Obstetrics and Gynecology July 1998

Urinary Tract Injuries After Hysterectomy

on Obstetrics and Gynecology Jan 01, 1998

Urinary tract injuries during laparoscopically ass...

on American Journal of Obstetrics... January 1994
More articles like this..