Obstetrics, Gynaecology and Reproductive Medicine
Volume 17, Issue 9 , Pages 266-271, September 2007

Urinary incontinence following gynaecological surgery

Tahira Naru MD is Associate Professor, at the Department of Obstetrics and Gynaecology, Aga Khan University, Karachi, Pakistan

Fauzia Haq FCPS is Senior Instructor, at the Department of Obstetrics and Gynaecology, Aga Khan University, Karachi, Pakistan

Javed H Rizvi FRCOG FACS is Professor, at the Department of Obstetrics and Gynaecology, Aga Khan University, Karachi, Pakistan

Abstract 

The proximity of the urinary tract to the reproductive organs puts it at risk of injury and incontinence as a consequence of gynaecological surgery. Incontinence to urine after gynaecological surgery is distressing to both the patient and the surgeon; in particular, formation of a urinary fistula after surgery is seen as a disaster by both. It also has long-term medicolegal implications. In this review. the main emphasis is on the prevention, evaluation, diagnosis and management of urinary tract injury. Other causes of postoperative incontinence are addressed briefly.

Keywords: evaluation counseling, gynaecological surgery, injury to urinary tract, urinary incontinence, vesicovaginal fistulae

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PII: S1751-7214(07)00126-1

doi:10.1016/j.ogrm.2007.07.005

Obstetrics, Gynaecology and Reproductive Medicine
Volume 17, Issue 9 , Pages 266-271, September 2007

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