Evidence map›Paper›PMID 40269809›Full record

ArticleBMC pregnancy and childbirth2025

The analyses of length and type of bladder injury during cesarean section in patients with or without placenta accreta: a retrospective case-control study.

Fikriye Işıl Adıgüzel, Cevdet Adıgüzel, Gülsüm Uysal, Mert Ali Karataş

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Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Fikriye Işıl AdıgüzelDepartment of Obstetrics and Gynecology, Adana City Training and Research Hospital, Adana, Turkey. aze_isil@hotmail.com.ORCID http://orcid.org/0000-0001-6849-2193
Cevdet AdıgüzelDepartment of Obstetrics and Gynecology, Adana City Training and Research Hospital, Adana, Turkey.ORCID http://orcid.org/0000-0002-3003-4573
Gülsüm UysalDepartment of Obstetrics and Gynecology, Adana City Training and Research Hospital, Adana, Turkey.ORCID http://orcid.org/0000-0002-9381-4892
Mert Ali KarataşDepartment of Obstetrics and Gynecology, Adana City Training and Research Hospital, Adana, Turkey.ORCID http://orcid.org/0009-0004-1144-4990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the outcomes of patients with bladder injury during cesarean delivery with or without placenta accreta spectrum (PAS). MATERIALS ANT

methodRetrospective case series of all pregnancies complicated by bladder injury during cesarean delivery were evaluated in a tertiary hospital between January 2018 and December 2023. Data of patients' demographic and obstetric parameters including bladder injury, such as length and degree of bladder injury, time of bladder injury occurrence (during entrance of peritoneal cavity, bladder flap dissection, uterine incision, or delivery) were all recorded. Patients with bladder injury were also divided into two group as with PAS (+) or without PAS (-), recorded data were compared between groups.

resultsBladder injury was detected in 72 (0.02%) of 35,465 total cesarean section operations. There were 45 (7.5%) patients with bladder injuries in the PAS group. The mean length of bladder injury (cm) in PAS (+) group and PAS (-) group were 5.20 ± 1.98 and 3.74 ± 1.63, respectively (p = 0.002). The gestational age at delivery and birth weight were significantly higher in PAS (-) group, while hospital stay was longer in PAS (+) group. The occurrence of bladder injury during flap dissection was significantly higher in PAS (+) group. However, in PAS (-) group the bladder injury during uterine incision or delivery was significantly higher (p < 0.001). The bladder injury rates in emergency cesarean sections were higher in two groups than elective cases.

conclusionsThe risk of bladder injury is higher in emergency cesarean sections, regardless of PAS status. Longer and more severe bladder injuries are seen in the PAS group.

Indexed as

Cesarean SectionIntraoperative ComplicationsPlacenta AccretaUrinary BladderAdultCase-Control StudiesFemaleHumansLength of StayPregnancyRetrospective StudiesBladder injuryCesarean deliveryPlacenta accreta spectrum

Identifiers

PMID40269809
PMCPMC12016227

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