American Journal of Obstetrics & Gynecology
Volume 202, Issue 5 , Pages 495.e1-495.e5, May 2010

Lower urinary tract injury in women in the United States, 1979–2006

Presented at the 30th Annual Scientific Meeting of the American Urogynecologic Society, Hollywood, FL, Sept. 24-26, 2009.

  • Elizabeth A. Frankman, MD, MSc

      Affiliations

    • Division of Urogynecology, Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Women's Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Li Wang, MS

      Affiliations

    • Office of Clinical Research, Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA
    • ,
  • Clareann H. Bunker, MPH, PhD

      Affiliations

    • Office of Clinical Research, Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA
    • ,
  • Jerry L. Lowder, MD, MSc

      Affiliations

    • Division of Urogynecology, Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Women's Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA

Received 3 August 2009; received in revised form 26 October 2009; accepted 12 January 2010. published online 11 March 2010.

Objective

We sought to determine age-adjusted rates (AARs) of lower urinary tract injury and incidence in selected inpatient gynecologic and obstetric procedures.

Study Design

We utilized the National Hospital Discharge Survey, 1979–2006. AARs of nonobstetric bladder and ureteral injuries and incidence of lower urinary tract injury for various hysterectomy types and deliveries were calculated for women >18 years old.

Results

Overall AARs of ureteral injury decreased from 0.06–0.03 per 1000 women (1979–2006). AARs of inpatient gynecologic procedures decreased from 24.9–11.8 per 1000 women (1979–2006). By hysterectomy type, bladder injury was highest in laparoscopic-assisted vaginal hysterectomy (VH) (13.8 per 1000) and VH (13.1 per 1000). Ureteral injury recognized during hysterectomy was most common with radical hysterectomy (7.7 per 1000) and least common with laparoscopic-assisted VH (0 per 1000).

Conclusion

Ureteral injuries at time of inpatient surgical procedures have decreased from 1979–2006. This corresponds with a sharp decrease in inpatient gynecologic procedures.

Key words: bladder injury, gynecologic surgery, ureteral injury

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 Cite this article as: Frankman EA, Wang L, Bunker CH, et al. Lower urinary tract injury in women in the United States, 1979–2006. Am J Obstet Gynecol 2010;202:495.e1-5.

 Reprints not available from the authors.

 This study was supported by Grant no. UL1 RR024153 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH. Information on NCRR is available at http://www.ncrr.nih.gov.

PII: S0002-9378(10)00024-4

doi:10.1016/j.ajog.2010.01.013

American Journal of Obstetrics & Gynecology
Volume 202, Issue 5 , Pages 495.e1-495.e5, May 2010

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