Professional Documents
Culture Documents
(2)
, Mustafa Omran
(1) Associated Professor, Urologist Department of Surgery, Faculty of Medicine, University of Gezira, Sudan
(2) Associate Professor of Obs Gyn, University of Gezira, Sudan
(3) Assistant Professor of Medicine , University of Gezira, Medani, Sudan
(4) Registrar Obs/Gyn, Faculty of Medicine, University of Gezira, Sudan
Address correspondence: to Dr .Abbashar Hussein, Associated Prof, University of Khartoum, Faculty of Medicine, Department of Medicine,
Neurology Section. Sudan, P.O.Box102 Khartoum, Sudan, Tel. +249-9123456722. E-mail: abbashar59@yahoo.com
Abstract
Injuries to the ureter and bladder are common in female pelvic surgery, sometimes extremely
common to be considered as traditional.
This is a retrospective study conducted in Gezira Hospital for Renal Disease and Surgery, Medani
Teaching Hospital and Medani Maternity Hospital, Wad Medani, Sudan. We included 82 pa&ents
with urological injuries following obstetrical gynecology interven&on in the previous 5 years. The
interaopera&ve injuries cons&tuted 20/82 (24 %), while the remote injuries were 62/82 (75.6 %).
We conclude that the urological injuries are common complications during pelvic surgery,
associated mainly with abdominal hysterectomies and Cesarean section.
Keywords: Urological injuries, Gezira, Sudan
INTRODUCTION
Injuries to the ureters and the bladder are
common complications in female pelvic surgery (1).
They are also hazardous in vaginal operations (2, 3),
C/S and hysterectomy (4, 5). They are sometimes
described as extremely common (6) and traditional
(7). It is estimated that 0.5 2.5% of all
gynecological procedures have been reported to
cause injury(8) and some another up to 30%(9).
The prevalence of neurological complications among Adult Sudanese diabetic patients Hussein et al
336
The prevalence of neurological complications among Adult Sudanese diabetic patients Hussein et al
RESULTS
We enrolled 82 patients with urological injuries
following obstetrical gynecology intervention in
the previous 5 years. They are all females, ranging
between 16-60 years of age; where the mean age
was 32.5. Regarding the indication of surgery; out
of the 82 patients included in our study,
pregnancy was indicated in 42, tumors 24 and 16
patients for reconstruction. The interaoperative
injuries constituted 20/82 (24 %), while the
remote injuries were 62/82 (75.6 %).
Type of interaoperative injuries
No.
Bladder injuries
Ureteric severing
Trigonal avulsion
Bladder descent
DISCUSION
Total
20
V.V.F
30
16
Unilateral ligation
Urethral injuries
Total
62
337
The prevalence of neurological complications among Adult Sudanese diabetic patients Hussein et al
REFERENCES
1Gueye SM, Ba M, Sylla C. Simaga AG. Diagne BA,
Mensah A. Uretero-vesical injuries during pelvic
surgery in women. Rev. Fr Gynecol Obstet. 1992 JulSep. 87(7-9); 411-3.
15Gao JS, Leng JH, Lang JH, Liu ZF, Shen K, Sun
DW, Zhu. I. Ureteral injury in gynecologic
laparoscopies. Zhonghua Fu Chan Ke Za Zhi, 2004
May;39(5)311-4.
338
The prevalence of neurological complications among Adult Sudanese diabetic patients Hussein et al
339