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01-11-2012 | Original Article

Urologic complications of laparoscopic radical hysterectomy and lymphadenectomy

Authors: Jong Ha Hwang, Myong Cheol Lim, Jae Young Joung, Sang-Soo Seo, Sokbom Kang, Ho Kyung Seo, Jinsoo Chung, Sang-Yoon Park

Published in: International Urogynecology Journal | Issue 11/2012

Abstract

Introduction and hypothesis

The purpose of this study was to evaluate the intra- and postoperative urologic complications and management in patients with cervical or endometrial cancer treated with laparoscopic radical hysterectomy and lymphadenectomy.

Methods

We retrospectively reviewed the medical records of 146 patients with cervical or endometrial cancer who underwent total laparoscopic radical hysterectomy with lymphadenectomy between August 2002 and April 2011. The intra- and postoperative urologic complications were analyzed.

Results

Double ureteral stents were inserted prophylactically in 13 patients (8.9 %), 2 of whom had postoperative urologic complications. Nine patients (6.2 %) had postoperative urologic complications. Of four patients with ureterovaginal fistulas, two were treated conservatively with cystoscopic placement of ureteral stents and two underwent ureteroneocystostomies. Vesicovaginal fistulas occurred in two patients, both of whom underwent vesicovaginal fistula repairs. One patient noted to have a bladder injury intraoperatively had a laparoscopic repair, and one patient noted to have a ureteral injury postoperatively was treated conservatively with cystoscopic placement of ureteral stents.

Conclusions

Iatrogenic lower urinary tract injuries during laparoscopic radical hysterectomy are relatively common complications. Intraoperative prophylactic ureteral stent insertion and the early detection of urologic complications postoperatively is advised for patients who undergo laparoscopic radical hysterectomies.

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Title: Urologic complications of laparoscopic radical hysterectomy and lymphadenectomy
Authors: Jong Ha Hwang
Myong Cheol Lim
Jae Young Joung
Sang-Soo Seo
Sokbom Kang
Ho Kyung Seo
Jinsoo Chung
Sang-Yoon Park
Publication date: 01-11-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 11/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1767-2

At a glance: The STEP trials

Springer Medicine

Urologic complications of laparoscopic radical hysterectomy and lymphadenectomy

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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