The incidence, causes, and management of lower urinary tract injury during total laparoscopic hysterectomy

Abdurrahman Hamdi İnan, Adnan Budak, Emrah Beyan, Ahkam Göksel Kanmaz, Kanmaz AG
Journal of gynecology obstetrics and human reproduction · 2018 · vol. 48(1) , pp. 45–49 · doi:10.1016/j.jogoh.2018.10.009 · PMID:30321609 · W2896999143
article OA: closed CC0
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by qwen3.7-flash, 2026-08-14 ⓘ

This study found that endometriosis and prior cesarean sections significantly increase the risk of lower urinary tract injuries during total laparoscopic hysterectomy, prompting detailed preoperative counseling for these patients.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

ObjectivesDetermining the incidence and causes of lower urinary tract injury in patients undergoing total laparoscopic hysterectomy and examining the procedures applied for management.MethodsPatients who underwent total laparoscopic hysterectomy in a large referral center between 1 January 2015 and 31 October 2017 for benign gynecological reasons were included in the study. Patients who underwent laparoscopic supracervical hysterectomy, laparoscopy-assisted vaginal hysterectomy and robot-assisted laparoscopic hysterectomy were not included in this study. The hospital records of all patients included in the study were examined and the incidence, causes and management of lower urinary tract injuries were reviewed.ResultsTotal lower urinary tract injury rate was found as 2.01%, and these injuries were evaluated separately as bladder and ureter injuries. All the bladder injuries had occurred on the posterior wall of the bladder during vesicouterine dissection; six cases were intraoperatively detected and one case was detected on the first postoperative day. Most of ureteral injury cases were detected in the early postoperative period (75%). The rates of previous cesarean section and endometriosis were significantly higher in patients with injury to the bladder and ureter than in the control group (p<0,001). There was no significant difference between the patients with lower urinary tract injury and the control group regarding uterine weight, estimated blood loss, bilateral salpingo-oophorectomy, the presence and location of fibroids, and laparoscopic or vaginal closure of the vaginal cuff.ConclusionLaparoscopic hysterectomy may be a good option in appropriate patients, but in case of previous cesarean section and endometriosis cases, patients should be informed about the possible complications in detail before the operation and care should be taken during dissection.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Cesarean Section Cesarean Section Endometriosis Endometriosis Hysterectomy Intraoperative Complications Intraoperative Complications Intraoperative Complications Intraoperative Complications Laparoscopy Postoperative Complications Postoperative Complications Postoperative Complications Postoperative Complications Ureter Urethral Diseases Urethral Diseases Urethral Diseases Urethral Diseases Urinary Bladder

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (1)

References (25)

Source provenance

europepmc
last seen: 2026-08-16T09:21:09.727480+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:19:31.300640+00:00
License: CC0 · commercial use OK