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
Korniluk, A., Kosinski, P. and Wielgos, M. (2017) Intraoperative Damage to the Urinary Bladder during Cesarean Section—Literature Review. Ginekologia Polska, 88, 161-165. https://doi.org/10.5603/GP.a2017.0031
Salman, L., Aharony, S., Shmueli, A., Wiznitzer, A., Chen, R. and Gabbay-Benziv, R. (2017) Urinary Bladder Injury during Cesarean Delivery: Maternal Outcome from a Contemporary Large Case Series. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 213, 26-30. https://doi.org/10.1016/j.ejogrb.2017.04.007
Rahman, M.S., Gasem, T., Al Suleiman, S.A., Al Jama, F.E., Burshaid, S., et al. (2009) Bladder Injuries during Cesarean Section in a University Hospital: A 25-Year Review. Archives of Gynecology and Obstetrics, 279, 349-352.
Alanwar, A., Al-Sayed, H.M., Ibrahim, A.M., Elkotb, A.M., Abdelshafy, A., Abdelhadi, R., Abbas, A.M., Abdelmenam, H.S., Fares, T., Nossair, W. and Abdallah, A.A. (2017) Urinary Tract Injuries during Cesarean Section in Patients with Morbid Placental Adherence: Retrospective Cohort Study. The Journal of Maternal-Fetal & Neonatal Medicine, 1, 1-7.
Ozcan, H.C., Balat, O., Ugur, M.G., Sucu, S., Tepe, N.B. and Kazaz, T.G. (2018) Use of Bladder Filling to Prevent Urinary System Complications in the Management of Placenta Percreta: A Randomized Prospective Study. Geburtshilfe und Frauenheilkunde, 78, 173-178. https://doi.org/10.1055/s-0044-100039
Pandey, D., Mehta, S., Grover, A. and Goel, N. (2015) Indwelling Catheterization in Caesarean Section: Time to Retire It! Journal of Clinical and Diagnostic Research, 9, QC01-QC4. https://doi.org/10.7860/JCDR/2015/13495.6415
Acharya, S., Uprety, D.K., Pokharel, H.P., Amatya, R. and Rai, R. (2012) Cesarean Section without Urethral Catheterization: A Randomized Control Trial. Kathmandu University Medical Journal (KUMJ), 10, 18-22.
Abdel-Aleem, H., Aboelnasr, M.F., Jayousi, T.M. and Habib, F.A. (2014) Indwelling Bladder Catheterization as Part of Intraoperative and Postoperative Care for Caesarean Section. The Cochrane Database of Systematic Reviews, 4, CD010322.
Poole, J.H. (2013) Adhesions Following Cesarean Delivery: A Review of Their Occurrence, Consequences and Preventative Management Using Adhesion Barriers. Women’s Health (London, England), 9, 467-477.
Bristow, R.E. and Montz, F.J. (2005) Prevention of Adhesion Formation after Radical Oophorectomy Using a Sodium Hyaluronate-Carboxymethylcellulose (HA-CMC) Barrier. Gynecologic Oncology, 99, 301-308.
The Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society of Reproductive Surgeons (2008) Pathogenesis, Consequences, and Control of Peritoneal Adhesions in Gynecologic Surgery. Fertility and Sterility, 90, S144-S149.
Faranesh, R., Romano, S., Shalev, E. and Salim, R. (2007) Suggested Approach for Management of Placenta Percreta Invading the Urinary Bladder. Obstetrics and Gynecology, 110, 512-515. https://doi.org/10.1097/01.AOG.0000267135.31817.d6