Iatrogenic Bladder Injuries; Frequency and Management during Obstetric  Non-Malignant Procedures

Maqsood Ahmad; Zain Bin Khalid; Hira Zain

doi:10.51253/pafmj.v73i5.7613

Authors

Maqsood Ahmad Department of Anesthesia, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan
Zain Bin Khalid Department of Anesthesia, Sharif Medical City Hospital, Lahore Pakistan
Hira Zain Department of Anesthesia, South City Hospital, Okara Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i5.7613

Keywords:

Bladder injury, Cesarean sections, Obstetric surgery, Pregnancy, Adhesive Capsulitis, Risk factors, Diabetes, HbA1c

Abstract

Objective: To find the frequency and management outcome of bladder injuries in cesarean section operations.

Study Design: Cross-sectional study.

Place and Duration of Study: Combined Military Hospital, Okara Pakistan, from Nov 2019 to Nov 2020.

Methodology: After Ethical Review Committee, approval 1040 patients who underwent cesarean sections were included.
Bladder injuries occurring during cesarean sections and their management outcomes were noticed.

Results: The frequency of bladder injury was 214(20.6%), with the number of injuries as 482(48.3%) for primary cesareans and 345(33.2%) for repeat cesareans. The surgeon was called for help in 195(18.8%) cases, and 27(2.6%) cases were transferred to the tertiary care centre. No mortality was noticed during the study.

Conclusion: The chances of bladder injuries can be minimized but will never be zero because of the anatomical development similarities of both tracts. It is pertinent to note that bladder injuries are the most common in obstetrics and gynecology surgeries.