Incidental urinary tract injury and the formation of vesicovaginal fistula at the time of hysterectomy for benign indications.

ABSTRACT:

Introduction and hypothesis

The association between hysterectomy type, laparoscopy use and vesicovaginal fistula (VVF) is currently unclear and would be useful to determine route of surgery and provide adequate patient counseling. The objective of this study was to evaluate the magnitude of association between the use of laparoscopic assistance, recognized intraoperative urinary tract injury and subsequent VVF repair and to quantify any differences in fistula repair and injury detection by hysterectomy type. Lastly, we sought to determine whether the type of hysterectomy is a risk factor for VVF repair independent of injury identification.

Methods

We performed a retrospective cohort study utilizing the Healthcare Cost and Utilization Project database examining benign hystere

SUBMITTER: Butler BM 

PROVIDER: S-EPMC11221219 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature