%0 Journal Article
%T Could Bladder Inflation Prior to Cesarean Section Prevent Urinary Tract Injury in High Risk Group? A Randomized Controlled Trial
%A Abd El-Naser Abd El-Gaber Ali
%A Mohammad A. M. Ahmed
%A Mustafa M. Khodry
%A Ahmed M. Abbas
%J Open Journal of Obstetrics and Gynecology
%P 207-215
%@ 2160-8806
%D 2019
%I Scientific Research Publishing
%R 10.4236/ojog.2019.92021
%X <strong>Background: </strong><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">Accidental urinary tract particularly bladder injury during cesarean
delivery</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">has</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">a significant maternal morbidity, as it may lead to extended operative
time, infection</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span><span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">of urinary tract and sometimes development of urinary tract fistulae. </span><b><span style=\"font-family:Verdana;\">Objective:</span></b><span style=\"font-family:Verdana;\"> 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. </span><b><span style=\"font-family:Verdana;\">Setting:</span></b><span style=\"font-family:Verdana;\"> Obstetrics and Gynecology
Department, Faculty of Medicine, South Valley University, Qena, Egypt. </span><b><span style=\"font-family:Verdana;\">Duration:</span></b><span style=\"font-family:Verdana;\"> From August 2017 to November 2018. </span><b><span style=\"font-family:Verdana;\">Study Design: </span></b><span style=\"font-family:Verdana;\">A prospective
randomized controlled trial. </span><b><span style=\"font-family:Verdana;\">Methods: </span></b><span style=\"font-family:Verdana;\">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. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">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
%K Bladder Inflation
%K Urinary Tract Injury (UTI)
%K Cesarean Section (CS)
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=90533