[Injury to urinary system in the operation of gynecology].

OBJECTIVE

To reduce the incidence of urinary system injury from gynecology operations.

METHODS

26 cases with urinary system injuries during gynecological operations were analyzed from 1982 to 1996.

RESULTS

The incidence of urinary injury in this hospital was 0.34%, and injuries occurred most frequently in the bladder. Among the 17 cases of bladder injuries, 12 occurred during tubal ligation, 3 during cesarean section, and 2 in myomectomy. There were 9 cases of ureter injuries, 6 cases occurred in radical hysterectomy for cervical cancer, 1 in cesarean section with hysterectomy, and 2 in hysterectomy with broad ligament leiomyoma.

CONCLUSIONS

This study demonstrated that it was important to be familiar with the regional anatomy, to operate strictly and separate those organs carefully in preventing the urinary system injury.