Background: Accidental urinary tract particularly bladder injury during cesarean
deliveryhasa significant maternal morbidity, as it may lead to extended operative
time, infectionof urinary tract and sometimes development of urinary tract fistulae. Objective: To find out the efficacy of urinary bladder inflation immediately prior to
cesarean section (CS) procedure in minimizing incidence of accidently urinary
tract injury in high risk patients. Setting: Obstetrics and Gynecology
Department, Faculty of Medicine, South Valley University, Qena, Egypt. Duration: From August 2017 to November 2018. Study Design: A prospective
randomized controlled trial. Methods: Seventy six pregnant women
recruited from attendants of outpatient antenatal care unit of obstetrics and
gynecology department who planned for cesarean delivery and carried one or more
risk factors for urinary tract injury. Patients randomly were classified into 2
groups (group I included 38 cases, underwent bladder inflation using triple way
Foley’s catheter immediately before CS and group II included 38 cases, and
underwent bladder deflation with 2 ways Foley’s catheter immediately before CS. Results: The overall incidence of urinary tract injury was significantly
higher in group II (7 cases = 18.4%) than in group I (2 cases = 5.2%) with
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