Polat O, Gül O, Aksoy Y, Ozbey I, Demirel A, Bayraktar Y
Department of Urology, Atatürk University School of Medicine, Research Hospital, Erzurum, Turkey.
Int Urol Nephrol. 1997;29(1):13-8. doi: 10.1007/BF02551411.
Abdominal and pelvic operations at Departments of Obstetrics and Gynaecology, and General Surgery play an important role in ureteral, bladder and rarely urethral injuries. Fifty-nine patients with iatrogenic ureteral, bladder and urethral injuries were treated at the Department of Urology, Atatürk University Research Hospital, between 1985 and 1995. These injuries were urinary vaginal fistulas in 43 patients (vesicovaginal 33, ureterovaginal 7, urethrovaginal 2 and vesicovaginal plus urethrovaginal 1), ureteric ligation in 9, bladder laceration in 7. These injuries were treated by different methods. All patients were followed up by intravenous urography (IVU) and urine culture three months later. It must be borne in mind that iatrogenic urinary tract injuries are not rare. Bladder and ureteral catheterization must be performed to prevent these complications.
妇产科和普通外科的腹部及盆腔手术在输尿管、膀胱及罕见的尿道损伤中起着重要作用。1985年至1995年间，阿塔图尔克大学研究医院泌尿外科治疗了59例医源性输尿管、膀胱和尿道损伤患者。这些损伤包括43例尿瘘（膀胱阴道瘘33例、输尿管阴道瘘7例、尿道阴道瘘2例以及膀胱阴道瘘合并尿道阴道瘘1例）、9例输尿管结扎、7例膀胱撕裂。这些损伤采用了不同的治疗方法。所有患者在三个月后通过静脉尿路造影（IVU）和尿培养进行随访。必须牢记医源性尿路损伤并不罕见。必须进行膀胱和输尿管插管以预防这些并发症。
