Title of article :
Post-Hysterectomy Transient Hydronephrosis: A Prospective Study
Author/Authors :
Mansour Ghanaie ، Mandana Department of Obstetrics Gynecology - Reproductive Health Research Center, Alzahra Hospital, School of Medicine - Guilan University of Medical Sciences , Asgari ، Alaedin Department of Urology - Guilan University of Medical Sciences , Haghbin ، Azar Guilan University of Medical Sciences , Mehdizade ، Fahime Guilan University of Medical Sciences , Asgari Ghalebin ، Mohammad Guilan University of Medical Sciences
From page :
13
To page :
18
Abstract :
Objective: To determine the incidence and importance of transient asymptomatic hydronephrosis following total hysterectomy. Materials and methods: In a prospective study over 4 year, 368 women were studied who had undergone a total abdominal or vaginal hysterectomy. Totally, 95% of operations were done for benign diseases (abnormal uterine bleeding, chronic pelvic pain, uterine prolapse, etc.) and 5% were performed for uterine malignancy. Renal ultrasonography was performed before and 3, 7 and 28 days after the surgery for diagnosing hydronephrosis. Intravenous urography was performed in patients with either persistent/progressive or symptomatic hydronephrosis. Results: There was no intraoperative identifiable ureteral injury. Hydronephrosis was seen in 35 (9.5%), 21 (5.7%), and 1 (0.27%) patients at days 3, 7 and 28 after the operation, respectively. The degree of hydronephrosis was graded I, II or III. Considering the frequency and severity of hydronephrosis, the right kidney was affected more. Hydronephrosis correlated significantly with indication, duration and route of surgery as well as patient s age. All kidneys improved spontaneously, except one case which needed ureteral stenting with no surgical intervention (p=0.05). Conclusion: Transient hydronephrosis could occur after simple total hysterectomy despite the absence of any obvious intraoperative ureteral injury. It is noted in 9.5% of the patients within three days after the non-complicated surgery. The clinical course may be continued until one month.
Keywords :
Hydronephrosis , Hysterectomy , Surgery
Journal title :
Journal of Family and Reproductive Health
Journal title :
Journal of Family and Reproductive Health
Record number :
2607998
Link To Document :
بازگشت