Clinical trial NCT04042129: Urological Complications and Management After Gynecological Operations
Official title: Urological Complications and Management After Gynecological Operations
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Urological Injury
Gynecologic Disease
Lead sponsor: Acibadem University
Sponsor class: OTHER
First posted: 2019-08-01
Enrollment: 1754
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: RETROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: gynecologic operations with urologic complications Patients' previous medical records, detailed physical examination findings, age, menopausal status, American Society of Anesthesiologists Classification (ASA) scores, and body mass indexes (BMI) were noted. Also, preoperative hemoglobin levels, postoperative hemoglobin levels, and hospitalization durations were recorded. In addition, indications for gynecologic surgery, sites of injury and management modalities of injury were recorded

Brief summary: OBJECTIVE: In the study, investigators aimed to evaluate the urological complications of gynecologic operations in a tertiary academic center and to evaluate the treatment methods of these complications.

METHODS: The files of all patients who underwent gynecological surgery between January 2016 and January 2019 were retrospectively reviewed. The age of patients with urological complications, American Anesthesia Society score, menopausal status, body mass index (BMI), preoperative hemoglobin level, postoperative hemoglobin level and hospitalization duration and number of previous surgeries were recorded. In addition, the patients with urological complications were evaluated in terms of the indications for surgery, type of surgery, type of urological complication and the way of treatment of the complication.

Detailed description: In women, the anatomical localization of urinary and genital tracts is very close to each other. This proximity can lead to injuries during pelvic operations. Advances in gynecologic operation techniques and the growing experience of gynecologists may suggest a decrease in urological injuries. However, according to the literature, gynecologists face approximately 0.2% to 1% urinary tract injuries during pelvic surgeries. The increase in the number of recurrent surgeries and adverse situations encountered during the operations such as adhesions and anatomical variations factor into the persistence of urologic complications. Investigators aimed to evaluate the urological complications of gynecologic operations in a tertiary academic center and to evaluate the treatment methods of these complications.

The files of all patients who underwent gynecological surgery between January 2016 and January 2019 were retrospectively reviewed. The age of patients with urological complications, American Anesthesia Society score, menopausal status, body mass index (BMI), preoperative hemoglobin level, postoperative hemoglobin level and hospitalization duration and number of previous surgeries were recorded. In addition, the patients with urological complications were evaluated in terms of the indications for surgery, type of surgery, type of urological complication and the way of treatment of the complication.

Eligibility criteria: Inclusion Criteria:

-Gynecologic operations with urologic complications

Exclusion Criteria:

* Patients with incomplete data and patients who underwent obstetric operations
* patients aged under 18
* patients who were operated under emergency conditions

Primary outcomes:
measure: Number and type of Urological Complications and Management After Gynecological Operations
timeFrame: retrospective 3 years period
Secondary outcomes:
Other outcomes:
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Study officials:
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