Managment and Outcome of Urinary Bladder Trauma After Gynaecological and Obstetric Operations
NCT ID: NCT06147804
Last Updated: 2023-11-28
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
40 participants
INTERVENTIONAL
2023-12-01
2024-12-01
Brief Summary
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We aimed to find out risk factors for vesico uterine fistula after bladder trauma
Detailed Description
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UT injuries during Obst/Gyn surgeries are rare but have a significant psychological impact on both patient and surgeon, and their medico legal aspects are very bothering (Safrai et al., 2022)
UT injuries during Obst/Gyn operations range from 0.3 to 1% (Blackwell et al., 2018) Most cases are bladder injury, approximately three times more than ureteral injury (Wong et al., 2018)
The primary goal of the Obst/Gyn surgeon is to avoid UT injuries during his procedure. Still, in some situations, this will be difficult as in patients with abnormal anatomy, difficult operations as in the presence of severe bleeding or pelvic adhesions, and with surgeons with low experience. Immediate intraoperative repair of these injuries is optimal. In some cases, diagnosis and management are delayed postoperatively(Patel and Heisler, 2021)
UT injuries during Obst/Gyn operations are either acute injuries such as bladder and ureteral laceration, and ureteral ligation identified immediately intra operatively or chronic injuries as fistula formation and stricture ureter, which are discovered later on (Lee et al., 2012) Iatrogenic urological complications from gynecological surgery can be prevented and reduced by complying with standard surgical
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Females after gynaecological and obstetric operations
Comaprison of the outcome
Surgical managment of Urinary bladder trauma after gynaecological and obstetric operation
How to manage Urinary bladder trauma after gynaecological and obstetric operations by the best method to prevent the occurrnce of vesicouterine fistula
Interventions
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Surgical managment of Urinary bladder trauma after gynaecological and obstetric operation
How to manage Urinary bladder trauma after gynaecological and obstetric operations by the best method to prevent the occurrnce of vesicouterine fistula
Eligibility Criteria
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Inclusion Criteria
All patients with Urinary bladder injuries related to Obst/Gyn operations
FEMALE
Yes
Sponsors
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Assiut University
OTHER
Responsible Party
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Mohamed Ashraf Abdelmageed Hamdallah
Resident
Central Contacts
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Other Identifiers
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UB trauma after gyn&obs op
Identifier Type: -
Identifier Source: org_study_id