ArticleCurrent women's health reviews2013
Bladder Injury During Cesarean Delivery.
Article in Current women's health reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04162782 (Cross Sectional Study of Iatrogenic Urinary Tract Injuries During Obstetric and Gynecological Operations in Assiut University Women Health Hospital), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Cross Sectional Study of Iatrogenic Urinary Tract Injuries During Obstetric and Gynecological Operations in Assiut University Women Health Hospital
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Risk factors for bladder injuries during cesarean sections: insights from a 15 year experience at a tertiary care center and a systematic review with meta-analysis.Archives of gynecology and obstetrics · 2024Pooled it
- A randomized controlled trial of cystoinflation to prevent bladder injury in the adhesive disease of multiple caesarean sections.Scientific reports · 2020Trial
- Ureteric Recovery Without Stenting After Intraoperative De-ligation During Cesarean Section: A Case Report.Cureus · 2026Article
- Acute and chronic complications of cesarean delivery: An update for the general radiologist.European journal of radiology open · 2026Article
- Management of unspecified abdominal pain and its complications: A case reports.International journal of surgery case reports · 2025Article
- Challenges in the diagnosis of delayed presentation of intraperitoneal Iatrogenic bladder trauma post Caesarean delivery: A case report.Urology case reports · 2024Article
- Increased bladder injury rate during emergency and repeat cesarean sectionJournal of the Turkish German Gynecological Association · 2023Article
- Pregnancy in spina bifida patients: a comparative analysis of peripartum procedures and complications.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- Assessment of the urinary bladder prior to cesarean delivery in women with multiple abdominal scars through operation table ultrasonography: a case report.AJOG global reports · 2023Article
- Detection rate with routine postoperative renal ultrasound to identify urinary tract injury after gynecological surgery.Archives of gynecology and obstetrics · 2022Article
- Best practices for repair of iatrogenic bladder injury.AJOG global reports · 2022Article
- Risk Factors for Urological Complications Associated with Caesarean Section-A Case-Control Study.Medicina (Kaunas, Lithuania) · 2022Article
- Urinary bladder injury during cesarean delivery: risk factors and the role of retrograde bladder filling.International urogynecology journal · 2021Article
- Article
- Evaluation of Hospital Cesarean Delivery-Related Profits and Rates in the United States.JAMA network open · 2021Observational
- Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section.Cureus · 2021Article
- Successful Vaginal Delivery during Acute Small Bowel Obstruction: A Case Report and Review of the Literature.Case reports in obstetrics and gynecology · 2021Article
- Cesarean bladder injury - obstetrician's nightmare.Journal of family medicine and primary care · 2020Review
- Obstetric-associated lower urinary tract injuries: A case series from a tertiary centre in a low-resource setting.Case reports in women's health · 2020Article
- Transverse versus vertical skin incision for planned cesarean hysterectomy: does it matter?BMC pregnancy and childbirth · 2020Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cesarean section is the most common surgery performed in the United States with over 30% of deliveries occurring via this route. This number is likely to increase given decreasing rates of vaginal birth after cesarean section (VBAC) and primary cesarean delivery on maternal request, which carries the inherent risk for intraoperative complications. Urologic injury is the most common injury at the time of either obstetric or gynecologic surgery, with the bladder being the most frequent organ damaged. Risk factors for bladder injury during cesarean section include previous cesarean delivery, adhesions, emergent cesarean delivery, and cesarean section performed at the time of the second stage of labor. Fortunately, most bladder injuries are recognized at the time of surgery, which is important, as quick recognition and repair are associated with a significant reduction in patient mortality. Although cesarean delivery is a cornerstone of obstetrics, there is a paucity of data in the literature either supporting or refuting specific techniques that are performed today. There is evidence to support double-layer closure of the hysterotomy, the routine use of adhesive barriers, and performing a Pfannenstiel skin incision versus a vertical midline subumbilical incision to decrease the risk for bladder injury during cesarean section. There is also no evidence that supports the creation of a bladder flap, although routinely performed during cesarean section, as a method to reduce the risk of bladder injury. Finally, more research is needed to determine if indwelling catheterization, exteriorization of the uterus, and methods to extend hysterotomy incision lead to bladder injury.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.