1Department of Gynecology and Obstetrics, Fatima Al-Zahraa Administrative hospital, Baghdad, Iraq
2Department of Gynecology and Obstetrics, Al-Mahaweel General Hospital, Babylon, Iraq
3Baghdad Medical City, Baghdad Teaching Hospital, Clinical Pharmacy Department, Baghdad, Iraq
Online published on 6 April, 2019.
review the incidence of iatrogenic bladder injuries (IBI) in obstetrical procedures and to identify the risk factors for these injuries.
A Retrospective research involve all patients that had cesarean deliveries (CS) and peripartum hysterectomies at Fatima Al-Zahraa Administrative hospital, from the 1st of January 2015 till the 30th of September 2018.
A total of 35, 212 CS performed during the study period, 68(0.19%) CS and peripartum hysterectomies were complicated by bladder injury of them 41% were type 1, 53% were type 2, and 6% were type 3 complications. Adhesions documented in 73%, while 12% had placenta accreta and 15% had ruptured uterus. Elective CS performed in 47% of the cases. Most cases of IBI occurred during reflection of bladder flap 56% and are mainly in type 1 and type 2 while 30% occurred during delivering the baby. All cases of type 3 (6%) occurred during opening the peritoneum.
bladder injury is a rare complication of cesarean delivery and peripartum hysterectomy but knowledge of the obstetrical, surgical and anatomical factors that can predispose to injury is the key to prevention.
Cesarean delivery, iatrogenic, bladder injury, adhesion, complication
