@article{Toptaş_Uysal_Karataş_Üreyen_Erol_2017, place={Ankara, TR}, title={Urinary Tract Injury at Gynecological Surgery: Results from a Tertiary-Care Institution}, volume={23}, url={https://www.gorm.com.tr/index.php/GORM/article/view/679}, DOI={10.21613/GORM.2016.679}, abstractNote={<p><strong>Objective:</strong> To identify clinical features of urinary tract injuries detected during or after gynecologic surgeries, with a specific focus on incidence and role of surgeon and surgical route on urinary injury.</p><p><strong>Study design:</strong> The institutional database from January 2009 to January 2017 was reviewed with respect to gynecologic (non-obstetric) surgeries and urinary injuries.</p><p><strong>Results:</strong> A total of 8719 gynecologic surgeries were identified. Of these, 46 (0.52%) were found to be complicated with a bladder (N=34, 0.38%), ureteral (N=11, 0.12%) and/or urethral injury (N=1, 0.01%). Bladder injuries occurred mostly at the superior part of the bladder, while ureteric injuries at the most distal part of the ureter. Ureteric injuries were mostly delayed (81.8% vs. 5.9%, P<0.001) and were more related to thermal injury than bladder injuries (45.5% vs. 8.8%, P=0.029). Among all surgical procedures, radical hysterectomy had the highest incidence for the ureteric injury (8.53%), while Burch colposuspension via minimally invasive route had the highest incidence for the bladder injury (16.6%). Cumulative incidence of urinary injury significantly differed according to the surgical route preferred (P=0.032), with the vaginal surgeries were associated with the highest incidence (0.96%). However, there was no such a difference in injury rates between the low-volume (0.55%) and high-volume (0.52%) surgeons (P=0.328)</p><p><strong>Conclusion:</strong> Overall incidence of lower urinary tract injury at gynecologic surgeries is low, does not differ according to annual number of surgeries performed, but increases with the vaginal surgeries.</p>}, number={3}, journal={Gynecology Obstetrics & Reproductive Medicine}, author={Toptaş, Tayfun and Uysal, Aysel and Karataş, Selim and Üreyen, Işın and Erol, Onur}, year={2017}, month={Dec.}, pages={143–147} }