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Urinary tract injury: medical negligence or unavoidable complication?
- Source :
- International urogynecology journal. 21(8)
- Publication Year :
- 2010
-
Abstract
- The incidence of urinary tract injury is low in most gynaecological operations but, if undiagnosed, is a cause of significant postoperative morbidity for the patient and litigation for the gynaecologist. A Medline search of studies of urinary tract injury at gynaecological surgery show that only one in 10 ureteral injuries and one in three bladder injuries are detected at the time of surgery without intra-operative cystoscopy. As cystoscopy is not routinely performed by the majority of gynaecologists during surgery, even in difficult cases, failure to detect injury to the urinary tract by itself should not be seen as negligence. However, all gynaecologists performing pelvic surgery should be encouraged to become competent in cystourethroscopy and perform this intra-operatively, at least in all high-risk cases of gynaecological surgery.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
Urology
Incidence (epidemiology)
Urinary system
Malpractice
Obstetrics and Gynecology
Cystoscopy
Gynaecological surgery
Surgery
Gynecologic Surgical Procedures
Risk Factors
medicine
Urinary tract injury
Prevalence
Humans
Female
Medical negligence
Complication
business
Urinary Tract
Pelvic surgery
Subjects
Details
- ISSN :
- 14333023
- Volume :
- 21
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- International urogynecology journal
- Accession number :
- edsair.doi.dedup.....c0f176b61a2d7a8cd4e116196d451740