We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
from Section 6 - Intrapartum/Delivery
Published online by Cambridge University Press: 08 April 2025
Cesarean delivery is the most commonly performed surgery in the United States, with over 30% of all deliveries occuring via this route. Urologic injury is one of the most common complications of obstetric and gynecologic surgery, with the bladder being the most commonly injured organ. Risk factors for injury include adhesions, emergent delivery, delivery in the second stage of labor, placenta accreta spectrum disorders, surgeon inexperience, and peripartum hysterectomy. Techniques for prevention of urologic injury include improved anatomical knowledge and surgical experience, prophylactic identification of anatomy, backfilling the bladder to identify borders, and using sharp rather than blunt dissection. Repair should be completed using delayed absorbable sutures in one or more layers depending on the extent of the injury. Small (<1 cm) injuries may be treated with prolonged catheterization alone. Urologic consultation should be strongly considered for injuries to the ureter, trigone, or for more complex bladder injuries. Antibiotic prophylaxis is not needed with short-term urinary catheters following repair and a cystogram is not required prior to catheter removal but may be performed if there are concerns for bladder integrity.
To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.
