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Intraoperative Complications of Vaginal Surgery

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Vaginal Surgery for Incontinence and Prolapse

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Abstract

Approximately 70% of iatrogenic injuries to the genitourinary tract are not recognized at the time of operation (1). The long-term sequelae of these injuries include ureteral obstruction with loss of renal function and fistula formation. It is estimated that surgery for benign gynecologic conditions is responsible for 74% of genitourinary fistulas and over 90% of vesicovaginal fistulas in the United States (2). The vagina affords the urologist and urogynecologist an easily accessible, less morbid route for performing surgery to correct urinary incontinence and pelvic organ prolapse. But factors such as previous pelvic surgery, obesity, pelvic inflammatory disease, endometriosis, and pelvic irradiation can result in decreased organ mobility and impaired healing should an injury occur (3). The awareness of these risk factors for genitourinary injury, as well as the adoption of a few simple intraoperative precautions, can aid in their prevention and eventual recognition at the time of surgery. Early recognition of these injuries and proper postoperative management serve to decrease patient morbidity.

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Author information

Authors and Affiliations

  1. Department of Urology, Humber River Regional Hospital-Finch Site, Toronto, Canada

    Gina A. Defreitas MD, FRCSC

  2. Department of Urology, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA

    Philippe E. Zimmern MD, FACS

Authors
  1. Gina A. Defreitas MD, FRCSC
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  2. Philippe E. Zimmern MD, FACS
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Editor information

Editors and Affiliations

  1. Department of Urology, The University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA

    Philippe E. Zimmern MD, FACS (Professor of Urology, Jane and John Justin Distinguished Chair in Urology In honor of Claus Roehrborn, MD) (Professor of Urology, Jane and John Justin Distinguished Chair in Urology In honor of Claus Roehrborn, MD)

  2. University of Utah School of Medicine, Salt Lake City, UT, USA

    Peggy A. Norton MD, FACOG (Professor of Obstetrics and Gynecology, Chief of Urogynecology and Reconstructive Pelvic Surgery) (Professor of Obstetrics and Gynecology, Chief of Urogynecology and Reconstructive Pelvic Surgery)

  3. Urology Department, Tenon Hospital, Paris, France

    François Haab MD (Professor of Urology) (Professor of Urology)

  4. Department of Urology, The Royal Hallamshire Hospital, Sheffield, UK

    Christopher C. R. Chapple BSc, MD, FRCS (Urol), FEBU (Consultant Urological Surgeon) (Consultant Urological Surgeon)

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© 2006 Springer-Verlag London Limited

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Defreitas, G.A., Zimmern, P.E. (2006). Intraoperative Complications of Vaginal Surgery. In: Zimmern, P.E., Norton, P.A., Haab, F., Chapple, C.C.R. (eds) Vaginal Surgery for Incontinence and Prolapse. Springer, London. https://doi.org/10.1007/978-1-84628-346-8_18

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  • DOI: https://doi.org/10.1007/978-1-84628-346-8_18

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-912-8

  • Online ISBN: 978-1-84628-346-8

  • eBook Packages: MedicineMedicine (R0)

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