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Ureteric Injuries Arising from Obstetric and Gynaecological Operations at the University College Hospital Ibadan: a 20-year Review
Abstract
Objective: The objective of the study is to determine the aetiology, the types and the various mode of management of ureteric associated with obstetric and gynaecological surgeries within the study period.
Methods: This is a descriptive study of 20 years duration from January 1981 to December 2000, carried out at the University College Hospital, Ibadan Nigeria. The clinical and operative records of all patients who had ureteric injuries during the period under review were retrospectively analysed.
Results: The incidence of ureteric injuries during the period of review was 0.4%. The mean age of the patients was 39.4 years and the injury occurs mostly in grand-multiparous women. The commonest surgical procedure leading to ureteric injuries in this study was total abdominal hysterectomy, whereby ligation of the ureter was the commonest mode of injury.
Conclusion: The incidence of ureteric injury during the study period is fewer than in that of previous review. This is probably so because less radical pelvic surgeries are performed now than during the period covered by the previous review which was about three decades ago. Also improved surgical skill among gynaecologists coupled with better obstetric care might have contributed to the fever number of ureters that were injured.
Key Words: Ureter, Iatrogenic, Injury, Fistula, Urinary Bladder.
[Trop J Obstet Gynaecol, 2003, 20: 32-36]
