IMR Press / CEOG / Volume 45 / Issue 3 / DOI: 10.12891/ceog4073.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research
Clinical retrospective analysis of urinary tract injury at the time of total laparoscopic hysterectomy
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1 Department of Obstetrics & Gynecology, the third Affiliated Hospital of Suzhou University, Changzhou, China
2 Department of Obstetrics & Gynecology, Tongji Hospital, Tongji medical College, Huazhong University of Science and Technology, Wuhan, China
3 Department of Obstetrics & Gynecology, Jintan Hospital Affiliated to Jiangsu University, Jintan, China
4 Department of Obstetrics & Gynecology, Taiyuan Women and Children Health Hospital, Taiyuan, China
Clin. Exp. Obstet. Gynecol. 2018, 45(3), 375–378;
Published: 10 June 2018

Purpose: To investigate the incidence and risk factors of urinary tract injury during total laparoscopic hysterectomy. Materials and Methods: All seven patients with urinary tract injury during past 14 years were reviewed retrospectively. The incidence of urinary tract injury and postoperative complications were studied. Results: There were two cases of bladder injury, three cases of ureteral injury, and two cases of vesicovaginal fistula. The urinary tract injuries were mainly diagnosed by indigo carmine dye, type-B ultrasonic, cystoscopy or intravenous pyelography. Two cases of bladder injury received bladder repair by laparoscopic or laparotomy successfully, three cases of ureteral injury were treated with internal ureteral stenting successfully, and two cases of vesicovaginal fistula accepted fistula repair by laparotomy three months after the initial total laparoscopic hysterectomy. Outcomes were all well in all cases. Conclusion: Early diagnosis and appropriate management of urinary tract injury is vital to allow prompt repair and limit postoperative morbidity.
Bladder injury
Ureteral injury
Vesicovaginal fistula
Total laparoscopic hysterectomy
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