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Jerry L. Lowder - One of the best experts on this subject based on the ideXlab platform.
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lower Urinary Tract Injury in women in the united states 1979 2006
American Journal of Obstetrics and Gynecology, 2010Co-Authors: Elizabeth A. Frankman, Li Wang, Clareann H. Bunker, Jerry L. LowderAbstract: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.
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Lower Urinary Tract Injury in women in the United States, 1979–2006
American journal of obstetrics and gynecology, 2010Co-Authors: Elizabeth A. Frankman, Li Wang, Clareann H. Bunker, Jerry L. LowderAbstract: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.
Thomas E. Nolan - One of the best experts on this subject based on the ideXlab platform.
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Urinary Tract Injury during hysterectomy based on universal cystoscopy.
Obstetrics and gynecology, 2009Co-Authors: Okechukwu A. Ibeanu, Ralph R. Chesson, Karolynn T. Echols, Mily Nieves, Fatuma Busangu, Thomas E. NolanAbstract:To estimate the incidence and location of Injury to the Urinary Tract during hysterectomy for benign gynecologic disease. This was a prospective clinical study in an academic environment performed at three sites. Diagnostic cystourethroscopy was performed on all patients after hysterectomy for benign disease. Eight hundred thirty-nine patients were enrolled. The incidence of Urinary Tract Injury associated with hysterectomy for benign disease was 4.3% (39 of 839 cases). The rate of bladder Injury was 2.9% (24 of 839 cases), and rate of ureteral Injury was 1.8% (15 of 839 cases). There were three cases of simultaneous bladder and ureteral injuries, resulting in a cumulative Injury rate of 4.3%. The Injury detection rate using intraoperative diagnostic cystoscopy was 97.4% (817 of 839 cases). The most common site of Injury to the ureter was at the junction of the ureter and the uterine artery in 80% (12 of 15 cases) of ureteral injuries. Transection and kinking injuries were the most frequent type of Injury. There were 21 cases of subnormal dye efflux from the ureteral orifices, with no subsequent Injury detected on further evaluation. Ureteral Injury occurred most commonly at the level of the uterine artery, and transection and kinking injuries were most frequent. Diminished dye efflux from ureteral orifices was not associated with Injury. III.
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Urinary Tract Injury during hysterectomy based on universal cystoscopy
Obstetrics & Gynecology, 2009Co-Authors: Okechukwu A. Ibeanu, Ralph R. Chesson, Karolynn T. Echols, Mily Nieves, Fatuma Busangu, Thomas E. NolanAbstract:OBJECTIVE:To estimate the incidence and location of Injury to the Urinary Tract during hysterectomy for benign gynecologic disease.METHODS:This was a prospective clinical study in an academic environment performed at three sites. Diagnostic cystourethroscopy was performed on all patients after hyste
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the incidence of Urinary Tract Injury during hysterectomy a prospective analysis based on universal cystoscopy
American Journal of Obstetrics and Gynecology, 2005Co-Authors: Babak Vakili, Ralph R. Chesson, Brooke L. Kyle, Karolynn T. Echols, Richard Gist, Yong T. Zheng, Abbas S Shobeiri, Thomas E. NolanAbstract:Objective To evaluate the incidence of Urinary Tract Injury due to hysterectomy for benign disease. Study design Patients were enrolled prospectively from 3 sites. All patients undergoing abdominal, vaginal, or laparoscopic hysterectomy for benign disease underwent diagnostic cystourethroscopy. Results Four hundred seventy-one patients participated. Ninety-six percent (24/25) of Urinary Tract injuries were detected intraoperatively. There were 8 cases of ureteral Injury (1.7%) and 17 cases of bladder Injury (3.6%). Ureteral Injury was associated with concurrent prolapse surgery (7.3% vs 1.2%; P =.025). Bladder Injury was associated with concurrent anti-incontinence procedures (12.5% vs 3.1%; P =.049). Abdominal hysterectomy was associated with a higher incidence of ureteral Injury (2.2% vs 1.2%) but this was not significant. Only 12.5% of ureteral injuries and 35.3% of bladder injuries were detected before cystoscopy. Conclusion The incidence of Urinary Tract Injury during hysterectomy is 4.8%. Surgery for prolapse or incontinence increases the risk. Routine use of cystoscopy during hysterectomy should be considered.
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The incidence of Urinary Tract Injury during hysterectomy: a prospective analysis based on universal cystoscopy.
American journal of obstetrics and gynecology, 2005Co-Authors: Babak Vakili, Ralph R. Chesson, Brooke L. Kyle, S. Abbas Shobeiri, Karolynn T. Echols, Richard Gist, Yong T. Zheng, Thomas E. NolanAbstract:To evaluate the incidence of Urinary Tract Injury due to hysterectomy for benign disease. Patients were enrolled prospectively from 3 sites. All patients undergoing abdominal, vaginal, or laparoscopic hysterectomy for benign disease underwent diagnostic cystourethroscopy. Four hundred seventy-one patients participated. Ninety-six percent (24/25) of Urinary Tract injuries were detected intraoperatively. There were 8 cases of ureteral Injury (1.7%) and 17 cases of bladder Injury (3.6%). Ureteral Injury was associated with concurrent prolapse surgery (7.3% vs 1.2%; P = .025). Bladder Injury was associated with concurrent anti-incontinence procedures (12.5% vs 3.1%; P = .049). Abdominal hysterectomy was associated with a higher incidence of ureteral Injury (2.2% vs 1.2%) but this was not significant. Only 12.5% of ureteral injuries and 35.3% of bladder injuries were detected before cystoscopy. The incidence of Urinary Tract Injury during hysterectomy is 4.8%. Surgery for prolapse or incontinence increases the risk. Routine use of cystoscopy during hysterectomy should be considered.
Rebecca G. Rogers - One of the best experts on this subject based on the ideXlab platform.
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Universal cystoscopy at the time of benign hysterectomy: a debate
American journal of obstetrics and gynecology, 2018Co-Authors: Lisa M. Peacock, Amy E. Young, Rebecca G. RogersAbstract:Injury to the bladder and/or ureters is the cause of significant morbidity, and efforts to reduce these injuries are important. This debate presents arguments that both support, and refute, the value of routine cystoscopy at the time of benign hysterectomy. Proponents of routine cystoscopy state that injuries are more likely to be detected and repaired when cystoscopy is routinely performed. Dissenters counter that the available evidence does not support routine cystoscopy at the current rates of lower Urinary Tract Injury, and the cystoscopy should be performed only when Injury is suspected or when performing hysterectomy with concurrent procedures that increase the risk of lower Urinary Tract Injury.
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Risk factors for lower Urinary Tract Injury at the time of hysterectomy for benign reasons
International Urogynecology Journal, 2014Co-Authors: Mamta M. Mamik, Danielle D. Antosh, Erinn M. Myers, Melinda Abernethy, Salma Rahimi, Nina Bhatia, Gena C. Dunivan, Dena E. White, Clifford R. Qualls, Rebecca G. RogersAbstract:Objectives To identify risk factors associated with lower Urinary Tract Injury at the time of performing hysterectomy for benign indications. Methods We conducted a multi-center case–control study of women undergoing hysterectomy for benign disease. Cases were identified via ICD-9 codes for lower Urinary Tract Injury at the time of hysterectomy from 2007 to 2011: controls were two subsequent hysterectomies following the index case in the same institution that did not have lower Urinary Tract Injury. Logistic regression was used to perform univariate and multivariate comparisons between groups. Results At 7 centers, 135 cases and 270 controls were identified. Cases comprised 118 bladder injuries and 25 ureteral injuries; 8 women had both bladder and ureteral Injury. Bladder Injury was associated with a history of prior cesarean section OR 2.9 (95 % CI 1.7–5), surgery by a general obstetrician and gynecologist OR 2.4 (95 % CI 1.2–5.2), and total abdominal hysterectomy OR1.9 (95%CI 1.06–3.4). Ureteral Injury was more likely among women who underwent laparoscopic-assisted vaginal hysterectomy (LAVH) OR 10.4 (95%CI 2.3–46.6) and total abdominal hysterectomy (TAH) OR 4.7 (95 % CI 1.4–15.6). Conclusion Bladder Injury at the time of benign hysterectomy is associated with a prior history of Cesarean section and TAH as well as surgery by generalist OB-GYN; ureteral Injury is associated with LAVH and TAH.
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risk factors for lower Urinary Tract Injury at the time of hysterectomy for benign reasons
International Urogynecology Journal, 2014Co-Authors: Mamta M. Mamik, Danielle D. Antosh, Dena White, Erinn M. Myers, Melinda Abernethy, Salma Rahimi, Nina Bhatia, Clifford Qualls, Gena C. Dunivan, Rebecca G. RogersAbstract:Objectives To identify risk factors associated with lower Urinary Tract Injury at the time of performing hysterectomy for benign indications.
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Risk factors for lower Urinary Tract Injury at the time of hysterectomy for benign reasons.
International urogynecology journal, 2014Co-Authors: Mamta M. Mamik, Danielle D. Antosh, Dena White, Erinn M. Myers, Melinda Abernethy, Salma Rahimi, Nina Bhatia, Clifford Qualls, Gena C. Dunivan, Rebecca G. RogersAbstract:To identify risk factors associated with lower Urinary Tract Injury at the time of performing hysterectomy for benign indications. We conducted a multi-center case-control study of women undergoing hysterectomy for benign disease. Cases were identified via ICD-9 codes for lower Urinary Tract Injury at the time of hysterectomy from 2007 to 2011: controls were two subsequent hysterectomies following the index case in the same institution that did not have lower Urinary Tract Injury. Logistic regression was used to perform univariate and multivariate comparisons between groups. At 7 centers, 135 cases and 270 controls were identified. Cases comprised 118 bladder injuries and 25 ureteral injuries; 8 women had both bladder and ureteral Injury. Bladder Injury was associated with a history of prior cesarean section OR 2.9 (95% CI 1.7-5), surgery by a general obstetrician and gynecologist OR 2.4 (95% CI 1.2-5.2), and total abdominal hysterectomy OR1.9 (95%CI 1.06-3.4). Ureteral Injury was more likely among women who underwent laparoscopic-assisted vaginal hysterectomy (LAVH) OR 10.4 (95%CI 2.3-46.6) and total abdominal hysterectomy (TAH) OR 4.7 (95% CI 1.4-15.6). Bladder Injury at the time of benign hysterectomy is associated with a prior history of Cesarean section and TAH as well as surgery by generalist OB-GYN; ureteral Injury is associated with LAVH and TAH.
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Risk factors of lower Urinary Tract Injury at the time of hysterectomy for benign reasons
Obstetrical & Gynecological Survey, 2014Co-Authors: Mamta M. Mamik, Danielle D. Antosh, Dena White, Erinn M. Myers, Melinda Abernethy, Salma Rahimi, Nina Bhatia, Clifford Qualls, Gena C. Dunivan, Rebecca G. RogersAbstract:Objectives To identify risk factors associated with lower Urinary Tract Injury at the time of performing hysterectomy for benign indications.
Elizabeth A. Frankman - One of the best experts on this subject based on the ideXlab platform.
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lower Urinary Tract Injury in women in the united states 1979 2006
American Journal of Obstetrics and Gynecology, 2010Co-Authors: Elizabeth A. Frankman, Li Wang, Clareann H. Bunker, Jerry L. LowderAbstract: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.
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Lower Urinary Tract Injury in women in the United States, 1979–2006
American journal of obstetrics and gynecology, 2010Co-Authors: Elizabeth A. Frankman, Li Wang, Clareann H. Bunker, Jerry L. LowderAbstract: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.
Clareann H. Bunker - One of the best experts on this subject based on the ideXlab platform.
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lower Urinary Tract Injury in women in the united states 1979 2006
American Journal of Obstetrics and Gynecology, 2010Co-Authors: Elizabeth A. Frankman, Li Wang, Clareann H. Bunker, Jerry L. LowderAbstract: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.
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Lower Urinary Tract Injury in women in the United States, 1979–2006
American journal of obstetrics and gynecology, 2010Co-Authors: Elizabeth A. Frankman, Li Wang, Clareann H. Bunker, Jerry L. LowderAbstract: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.
