Urological complications in obstetrics
- Authors: Musin I.I.1, Berg E.A.1, Safiullin R.I.1, Urmantsev M.F.1, Absalyamova D.F.2, Fatkullina Y.N.1, Yashchuk K.N.1
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Affiliations:
- Bashkir State University
- City Clinical Hospital of the Demsky District of the city of Ufa
- Issue: Vol 70, No 5 (2021)
- Pages: 147-155
- Section: Theory and Practice
- URL: https://journals.rcsi.science/jowd/article/view/62212
- DOI: https://doi.org/10.17816/JOWD62212
- ID: 62212
Cite item
Abstract
Urinary tract injury is a rare but severe complication during abdominal delivery. Over the past quarter of the last century, the frequency of abdominal delivery in Russia has more than tripled due to the increase in the number of pregnant women at high risk for the development of maternal and perinatal complications. Intraoperative diagnosis of urinary tract injuries allows timely treatment with better postoperative outcomes. Given the high percentage of caesarean sections in many countries, the risk of the above complications remains high. Risk factors for urinary tract injury during cesarean section are an increase in women’s average age and body mass index, high parity, the presence of adhesions, prior cesarean section, emergency cesarean section, and cesarean section in the second stage of labor. This article discusses several clinical cases on the development of urological complications in obstetrics and gynecology. Due to modern progress in the field of operative obstetrics, vesicouterine fistulas caused by obstetric causes may not occur as often as in the last century. Nevertheless, even despite this, one should not forget about elementary preventive measures in operative delivery, especially in such obstetric situations as placental ingrowth, bleeding, hematoma, and parametria.
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##article.viewOnOriginalSite##About the authors
Ilnur I. Musin
Bashkir State University
Email: ilnur-musin@yandex.ru
ORCID iD: 0000-0001-5520-5845
SPIN-code: 4829-1179
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, UfaEdvard A. Berg
Bashkir State University
Email: nucleardeer@gmail.com
ORCID iD: 0000-0002-2028-7796
SPIN-code: 5899-0116
MD
Russian Federation, UfaRuslan I. Safiullin
Bashkir State University
Email: russafiullin@yandex.ru
ORCID iD: 0000-0002-3379-5853
SPIN-code: 4856-0349
MD, Dr. Sci. (Med.), Professor
Russian Federation, UfaMarat F. Urmantsev
Bashkir State University
Email: urmantsev85@mail.ru
ORCID iD: 0000-0002-4657-6625
SPIN-code: 3506-7753
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, UfaDina F. Absalyamova
City Clinical Hospital of the Demsky District of the city of Ufa
Email: absdina@yandex.ru
ORCID iD: 0000-0001-6286-5307
SPIN-code: 3379-2595
MD, Cand. Sci. (Med.)
Russian Federation, UfaYulia N. Fatkullina
Bashkir State University
Author for correspondence.
Email: ilnur-musin@yandex.ru
ORCID iD: 0000-0003-0958-7891
SPIN-code: 9410-6532
MD
Russian Federation, UfaKsenia N. Yashchuk
Bashkir State University
Email: ag2@bashgmu.ru
ORCID iD: 0000-0002-8285-6536
SPIN-code: 8746-1180
Russian Federation, Ufa
References
- Bujanova SN, Yudina NV, Barto RA. Rare complications of caesarean section. Rossijskij vestnik akushera-ginekologa. 2018;18(3):83−87. (In Russ.)
- Stemming the global caesarean section epidemic. Lancet. 2018;392(10155):1279. doi: 10.1016/S0140-6736(18)32394-8
- Sandall J, TribeRM, Avery L, et al. Short-term and long-term effects of caesarean section on the health of women and children. Lancet. 2018;392(10155):1349−1357. doi: 10.1016/S0140-6736(18)31930-5
- Phipps MG, Watabe B, Clemons JL, et al. Risk factors for bladder injury during cesarean delivery. Obstet Gynecol. 2005;105(1):156−160. doi: 10.1097/01.AOG.0000149150.93552.78
- Kan DV. Rukovodstvo po akusherskoj i ginekologicheskoj urologii. Moscow: Medicina; 1978. (In Russ.)
- Gungorduk K, Asicioglu O, Celikkol O, et al. Iatrogenic bladder injuries during caesarean delivery: a case control study. J Obstet Gynaecol. 2010;30(7):667−670. doi: 10.3109/01443615.2010.486086
- Rajasekar D, Hall M. Urinary tract injuries during obstetric intervention. Br J Obstet Gynaecol. 1997;104(6):731−734. doi: 10.1111/j.1471-0528.1997.tb11986.x
- Rao D, Yu H, Zhu H, Duan P. The diagnosis and treatment of iatrogenic ureteral and bladder injury caused by traditional gynaecology and obstetrics operation. Arch Gynecol Obstet. 2012;285(3):763−765. doi: 10.1007/s00404-011-2075-7
- Nawaz FH, Khan ZE, Rizvi J. Urinary tract injuries during obstetrics and gynaecological surgical procedures at the Aga Khan University Hospital Karachi, Pakistan: a 20-year review. Urol Int. 2007;78(2):106−111. doi: 10.1159/000098065
- Ustunsoz B, Ugurel S, Duru NK, et al. Percutaneous management of ureteral injuries that are diagnosed late after cesarean section. Korean J Radiol. 2008;9(4):348−353. doi: 10.3348/kjr.2008.9.4.348
- Modina P, Vida L, David CI, et al. Spontaneous bladder rupture: Laparoscopic management of rare complications after nontraumatic vaginal delivery. Urol Case Rep. 2020;33:101377. doi: 10.1016/j.eucr.2020.101377
- Parker H, Hoonpongsimanont W, Vaca F, Lotfipour S. Spontaneous bladder rupture in association with alcoholic binge: a case report and review of the literature. J Emerg Med. 2009;37(4):386−389. doi: 10.1016/j.jemermed.2007.03.049
- Farahzadi A, Mohammadipour S. A late presentation of spontaneous bladder rupture during labor. Urol Case Rep. 2016;8:24−25. doi: 10.1016/j.eucr.2016.05.007
- Wandabwa J, Otim T, Kiondo P. Spontaneous rupture of bladder in puerperium. Afr Health Sci. 2004;4(2):138−139.
- Heyns CF, Rimington PD. Recurrent spontaneous bladder rupture. A case report. S Afr Med J. 1989;75(9):445−446.
- Safrai M, Stern S, Gofrit ON, et al. Urinary tract injuries during cesarean delivery: long-term outcome and management. J Matern Fetal Neonatal Med. 2020;1−8. doi: 10.1080/14767058.2020.1828336
- Peeker R. Is there a need for urologist assistance in the management of abnormally invasive placenta? Scand J Urol. 2018;52(3):236. doi: 10.1080/21681805.2018.1443974
- Tam KB, Dozier J, Martin JN Jr. Approaches to reduce urinary tract injury during management of placenta accreta, increta, and percreta: a systematic review. J Matern Fetal Neonatal Med. 2012;25(4):329−334. doi: 10.3109/14767058.2011.576720
- Krasnopol’skij VI, Logutova LS, Bujanova SN. Reproduktivnye problemy operirovannoj matki. Moscow: Miklosh; 2006. (In Russ.)
- Krasnopol’skij VI, Bujanova SN. Genital’nye svishhi. Moscow: MEDpress; 2016. (In Russ.)
- Arora P, Mullan C, Lawton V. Post-caesarean vesico-uterine fistula leading to puerperal sepsis. J Obstet Gynaecol. 2010;30(4):415. doi: 10.3109/01443611003759265
- Sultana CJ, Goldberg J, Aizenman L, Chon JK. Vesicouterine fistula after uterine artery embolization: a case report. Am J Obstet Gynecol. 2002;187(6):1726−1727. doi: 10.1067/mob.2002.128989
- Porcaro AB, Zicari M, Zecchini Antoniolli S, et al. Vesicouterine fistulas following cesarean section: report on a case, review and update of the literature. Int Urol Nephrol. 2002;34(3):335−344. doi: 10.1023/a:1024443822378
- Shekar PA, Reddy D, Pal BC, Gopalakrishnan G. An unusual cause of female urinary incontinence following obstetric trauma. Urology. 2021;148:e3−e5. doi: 10.1016/j.urology.2020.11.049
- Khasanov AA. Diagnosis, prevention and organ-preserving method of delivery in pregnant women with placenta accrete. Kazan medical journal. 2016;97(4):477−485. (In Russ.). doi: 10.17750/KMJ2015-477
- Patent RF na izobretenie No. 2578183/ 20.03.2016. Bjul. No. 8. Kurcer MA, Savel’eva GM, Breslav IJu. Sposob konservativnogo hirurgicheskogo lechenija pri rodorazreshenii pacientok s vrastaniem placenty. (In Russ.). [cited 24 Sept 2021]. Available at: https://rusneb.ru/catalog/000224_000128_0002578183_20160320_C1_RU/
- Patent RF na izobretenie No. 2626984 / 02.08.2017. Bjul. No. 22. Shmakov RG, Chup-rynin VD, Vinickij AA. Sposob dvuhurovnego gemostaza pri vypolnenii organosohranjajushhego operativnogo rodorazreshenija u pacientok s vrastaniem placenty. (In Russ.). [cited 24 Sept 2021]. Available at: https://rusneb.ru/catalog/000224_000128_0002626984_20170802_C1_RU/