Ureteric injuries complicating obstetric and gynecologic operations in the University of Calabar Teaching Hospital.

Abstract

A retrospective study to determine the rate and pattern of ureteric injuries complicating gynecologic and obstetric operations in the University of Calabar Teaching Hospital (UCTH) during a ten-year period (1990 –1999) was undertaken. The number of major operations carried out during the period was 9350. Of these, 8670 (92.7%) were gynecologic procedures and 680 (7.3%) obstetric. Eight cases of ureteric injuries were recorded during the period under study. Three of these occurred with obstetric operation giving an injury rate of 0.4% (3 of 680), while the rate for gynecologic operations was 0.06% (5 of 8670). The overall injury rate was 0.09 % (8 of 9350). We conclude that ureteric injuries complicating obstetric and gynecologic in this centre are very rare. Such injuries are more frequent with obstetric compared to gynecologic operations. Prognosis is good when these injuries are recognized early and given appropriate treatment.


(Global Journal of Medical Science, 2004, 3 (1&2): 1-3)