ArticleInternational urogynecology journal2018
Diagnosis and management of 365 ureteric injuries following obstetric and gynecologic surgery in resource-limited settings.
Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 26 citations in OpenAlex.
- Perceptions of facilitators, barriers and adaptations for provision of obstetric fistula surgery and care: a qualitative descriptive study of service providers in selected hospitals in Busoga sub-region, eastern Uganda.Frontiers in global women's health · 2026Article
- Equivalence between physicians and associate clinicians in the frequency of iatrogenic urogenital fistula following cesarean section in Tanzania and Malawi.Human resources for health · 2024Article
- Observational
- Pre-operative ureteric catherisation for major endoscopic gynaecological surgery.Surgical endoscopy · 2023Article
- Iatrogenic Ureteral and Colonic Injuries During Emergency Cesarean Section: A Lesson Learned from a Surgical Catastrophe - A Case Report.International medical case reports journal · 2023Article
- A retrospective review of genital fistula occurrence in nine African countries.BMC pregnancy and childbirth · 2022Article
- Transient ureteric obstruction following pelvic floor reconstruction.BMJ case reports · 2021Article
- Cesarean delivery in low- and middle-income countries: A review of quality of care metrics and targets for improvement.Seminars in fetal & neonatal medicine · 2021Review
- Recent advances in mammalian reproductive biology.Science China. Life sciences · 2020Review
- Article
- Management of Genitourinary Fistulas Following Benign Gynecological and Obstetric Procedures: A Single Surgeon Experience.Journal of mid-life healthArticle
- Prophylactic Ureteral Catheter Placement Appears to Reduce Intraoperative Ureteric Injury During Resection of Primary Retroperitoneal Liposarcoma.Technology in cancer research & treatmentArticle
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3 authors at 1 institution in 1 country.
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Abstract
introductionUreteric injuries are among the most serious complications of pelvic surgery. The incidence in low-resource settings is not well documented.
methodsThis retrospective review analyzes a cohort of 365 ureteric injuries with ureterovaginal fistulas in 353 women following obstetric and gynecologic operations in 11 countries in Africa and Asia, all low-resource settings. The patients with ureteric injury were stratified into three groups according to the initial surgery: (a) obstetric operations, (b) gynecologic operations, and (c) vesicovaginal fistula (VVF) repairs.
resultsThe 365 ureteric injuries in this series comprise 246 (67.4%) after obstetric procedures, 65 (17.8%) after gynecologic procedures, and 54 (14.8%) after repair of obstetric fistulas. Demographic characteristics show clear differences between women with iatrogenic injuries and women with obstetric fistulas. The study describes abdominal ureter reimplantation and other treatment procedures. Overall surgical results were good: 92.9% of women were cured (326/351), 5.4% were healed with some residual incontinence (19/351), and six failed (1.7%).
conclusionsUreteric injuries after obstetric and gynecologic operations are not uncommon. Unlike in high-resource contexts, in low-resource settings obstetric procedures are most often associated with urogenital fistula. Despite resource limitations, diagnosis and treatment of ureteric injuries is possible, with good success rates. Training must emphasize optimal surgical techniques and different approaches to assisted vaginal delivery.
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