Urological complications associated with caesarean section.

We analysed 1438 deliveries by caesarean section (CS) with regard to urological complications such as urological infections and urinary tract injuries. There were five accidental cystotomies, but no ureteral injury and no urogenital fistula. Serious urological complications are rare and further complications, such as urogenital fistulae and urosepsis, can be avoided if the injury is recognised and repaired properly during the operation. On the other hand, significant bacteriuria after CS is common. It was found in > 11% of the patients, most probably because of routine catheterization. Symptomatic urinary tract infection (UTI) must be treated as soon as symptoms appear, but routine antibiotic prophylaxis is not recommended.