Urinary tract injuries during gaesarean section

A retrospective review of obstetric urinary tract injury in Hamad Medical Corporation [HMC] from January 1994 to December 2004 identified 16 cases from 21,337 Caesarean Sections. Diagnosis of bladder injury was immediate but of uretric injury was often delayed. Although the injury rates are lower than previously reported in the literature, Q.0016%-0.94% and 0.029%-0.09% for bladder and uretric injuries respectively compared to 0.07 and 0.01 for bladder and uretric injuries in Qatar, a previous caesarean section still represents the most common predisposing factor for infra-operative bladder injury [17 cases; 0.08%] while only one such injury occurred in a primary caesarean section [0.0047%]