Urological Complications and Management After Gynecological Operations

OBJECTIVE: In the study, investigators aimed to evaluate the urological complications of gynecologic operations in a tertiary academic center and to evaluate the treatment methods of these complications.

METHODS: The files of all patients who underwent gynecological surgery between January 2016 and January 2019 were retrospectively reviewed. The age of patients with urological complications, American Anesthesia Society score, menopausal status, body mass index (BMI), preoperative hemoglobin level, postoperative hemoglobin level and hospitalization duration and number of previous surgeries were recorded. In addition, the patients with urological complications were evaluated in terms of the indications for surgery, type of surgery, type of urological complication and the way of treatment of the complication.

Study Overview

• Status: Completed
• Conditions: Gynecologic Disease; Urological Injury
• Intervention / Treatment: Other: gynecologic operations with urological complications

Detailed Description

In women, the anatomical localization of urinary and genital tracts is very close to each other. This proximity can lead to injuries during pelvic operations. Advances in gynecologic operation techniques and the growing experience of gynecologists may suggest a decrease in urological injuries. However, according to the literature, gynecologists face approximately 0.2% to 1% urinary tract injuries during pelvic surgeries. The increase in the number of recurrent surgeries and adverse situations encountered during the operations such as adhesions and anatomical variations factor into the persistence of urologic complications. Investigators aimed to evaluate the urological complications of gynecologic operations in a tertiary academic center and to evaluate the treatment methods of these complications.

The files of all patients who underwent gynecological surgery between January 2016 and January 2019 were retrospectively reviewed. The age of patients with urological complications, American Anesthesia Society score, menopausal status, body mass index (BMI), preoperative hemoglobin level, postoperative hemoglobin level and hospitalization duration and number of previous surgeries were recorded. In addition, the patients with urological complications were evaluated in terms of the indications for surgery, type of surgery, type of urological complication and the way of treatment of the complication.

• Study Type: Observational
• Enrollment (Actual): 1754

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• Sampling Method: Probability Sample

Study Population

gynecologic operations with urologic complications Patients' previous medical records, detailed physical examination findings, age, menopausal status, American Society of Anesthesiologists Classification (ASA) scores, and body mass indexes (BMI) were noted. Also, preoperative hemoglobin levels, postoperative hemoglobin levels, and hospitalization durations were recorded. In addition, indications for gynecologic surgery, sites of injury and management modalities of injury were recorded

Description

Inclusion Criteria:

-Gynecologic operations with urologic complications

Exclusion Criteria:

• Patients with incomplete data and patients who underwent obstetric operations
• patients aged under 18
• patients who were operated under emergency conditions

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
1; gynecologic operations with urologic complications	Other: gynecologic operations with urological complications

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Number and type of Urological Complications and Management After Gynecological Operations	retrospective 3 years period

Collaborators and Investigators

• Sponsor: Acibadem University

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 1, 2016
• Primary Completion (ACTUAL): January 1, 2019
• Study Completion (ACTUAL): January 1, 2019

Study Registration Dates

• First Submitted: July 6, 2019
• First Submitted That Met QC Criteria: July 31, 2019
• First Posted (ACTUAL): August 1, 2019

Study Record Updates

• Last Update Posted (ACTUAL): August 1, 2019
• Last Update Submitted That Met QC Criteria: July 31, 2019
• Last Verified: July 1, 2019

More Information

Terms related to this study

• Other Study ID Numbers: AcibademUr

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No