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01-12-2014 | Case Report

Transient large urinoma following hysterectomy

Authors: Nadine Becuzzi, Samantha Scherman, Ajay Rane

Published in: International Urogynecology Journal | Issue 12/2014

Abstract

This case report describes the formation of a very large urinoma 1 day after vaginal surgery. A 59-year-old woman was diagnosed with a urinoma measuring 30.5 cm in length, 23 cm in the transverse plane and 12 cm in the anteroposterior dimension on day 1 after a vaginal hysterectomy and prolapse repair surgery. The urinoma resolved completely after trans-abdominal catheter drainage. This case demonstrates that even a large urinoma can initially be managed conservatively. Furthermore, it emphasizes the importance of the early detection and management of urinary tract injuries after vaginal surgery.

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Frankman EA, Wang L, Bunker CH, Lowder JL (2010) Lower urinary tract injury in women in the United States, 1979–2006. Am J Obstet Gynecol 202(5):495.e1–495.e5. doi:10.1016/j.ajog.2010.01.013

Titton RL, Gervais DA, Hahn PF et al (2003) Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics 23(5):1133–1147PubMedCrossRef

Gilmour DT, Dwyer PL, Carey MP (1999) Lower urinary tract injury during gynecologic surgery and its detection by intraoperative cystoscopy. Obstet Gynecol 94(5 Pt 2):883–889PubMedCrossRef

Title: Transient large urinoma following hysterectomy
Authors: Nadine Becuzzi
Samantha Scherman
Ajay Rane
Publication date: 01-12-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 12/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2449-z

At a glance: The STEP trials

Springer Medicine

Transient large urinoma following hysterectomy

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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