The injury of urinary system in gynecologic operation

Objective: To study and analyze 17 cases of urinary injury in gynecologic operation for prevention and treatment. Methods: The cause, position, diagnosis, treatment and prognosis of injury in these patients from 1989 1998 were studied. Results: There were 17 cases(0.31%) of urinary injury for the past 10 years, of which 9 were bladder injury, and 8 were ureteral injury. The injury usually happened at the pelvic pathologic adhesion caused by inflammation, tumor invasion, pelvic endometriosis, old ectopic pregnancy, giant tumor impression, and abnormal anatomy. 15 cases were found during the operation; they were recognized and repaired by surgery, and healed well except one. The 2 cases were recognized on 2 and 7 days after operation, and a second operation was made. Conclusion: Gynecologic operations should be performed correctly, and the urinary injury should be recognized and repaired in the operation of injury. (J Beijing Med Univ, 2000,32:172 274)