Search Our Scientific Publications & Authors

Int Urogynecol J 2020 Apr 11. Epub 2020 Apr 11.

Department of Urology, University of Louisville, Louisville, KY, USA.

Introduction And Hypothesis: Iatrogenic ureteral injuries can occur during any surgery but are more likely to occur during urologic and gynecologic procedures. The middle and distal ureter are especially at risk of injury during these surgeries.

Methods: The objective of this surgical educational video was to demonstrate how to repair middle to distal ureteral injuries with the following techniques: direct ureteroureterostomy, ureteroneocystotomy, vesico-psoas hitch, and Boari-Ockerblad bladder flap. Read More

Case Rep Obstet Gynecol 2020 28;2020:9214613. Epub 2020 Jan 28.

Department of Urology, Lewis Katz School of Medicine at Temple University, Temple University Hospital, 3401 N. Broad St, Philadelphia, PA 19140, USA.

Iatrogenic injury to the urinary system is a known complication of gynecologic surgery; therefore, intraoperative cystoscopy is frequently performed to assess for such injuries. However, if an abnormality is seen, the differential diagnosis extends beyond iatrogenic causes. A 42-year-old patient underwent a total abdominal hysterectomy and had absent efflux from the right ureteral orifice on cystoscopy. Read More

BMC Urol 2019 Dec 9;19(1):128. Epub 2019 Dec 9.

Department of Translational Research and New Technologies in Medicine and Surgery, Sections of Urology, University of Pisa, via Paradisa 2, 56126, Pisa, Italy.

Background: The angiogenesis inhibitor monoclonal antibody Bevacizumab is presently the standard treatment for numerous neoplasms but particular toxicities are emerging, such as hypertension, haemorrhage, thromboembolism, gastrointestinal perforation, fistulae, and delayed wound healing. The addition of Bevacizumab to radio and chemotherapy has improved the overall survival rate in patients with metastatic, persistent or recurrent cervical carcinoma. However an increased risk of enteric or urinary fistula formation has been documented, related to hypoxia which is induced by the inhibition of angiogenesis. Read More

Gynecol Oncol 2020 01 2;156(1):115-123. Epub 2019 Dec 2.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. Electronic address:

Objectives: To report the trends in surgical approaches and compare the major surgical complication rates of laparoscopic and abdominal radical hysterectomy for cervical cancer.

Methods: From the major surgical complications of cervical cancer in China (MSCCCC) database, we obtained the demographic, clinical, treatment hospital and complication data of patients with cervical cancer who underwent radical hysterectomy from 2004 to 2015 at 37 hospitals. The patients were assigned to the laparoscopic and abdominal surgery groups. Read More

Medicine (Baltimore) 2019 Dec;98(49):e18250

Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, South Korea.

Rationale: Various types of internal hernias have been reported including paraduodenal, intersigmoidal, pericecal, foramen of Winslow, as well as transmesenteric and retroanastomotic hernias. However, small bowel obstruction secondary to an internal hernia caused by the ureter is rare, and only a few cases have been reported worldwide. We report a case of small bowel herniation caused by the ureter in a woman who underwent radical hysterectomy for cervical cancer. Read More

Int J Gynaecol Obstet 2020 Feb 10;148(2):168-173. Epub 2019 Dec 10.

Minimally Invasive Gynecology Surgery Center, Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan, R.O.C.

Objective: To assess the safety and efficacy of contained manual morcellation (CMM) with a tissue pouch during minimally invasive robotic or laparoscopic surgeries.

Methods: A retrospective cohort study included women who underwent robotic or laparoendoscopic single-site surgery at a tertiary referral center between February 2014 and April 2017. The specimen was postoperatively contained, sliced into one or more long strips, and then pulled out. Read More

J Minim Invasive Gynecol 2019 Nov 16. Epub 2019 Nov 16.

Department of Obstetrics and Gynecology, Divisions of Gynecologic Oncology (Drs. Chang, Mandelbaum, Matsuzaki, Roman, and Matsuo, Mr. Nusbaum, and Ms. Violette); Norris Comprehensive Cancer Center (Drs. Roman and Matsuo), University of Southern California, Los Angeles, California. Electronic address:

Study Objective: The findings of previous studies have been inconsistent as to whether benign hysterectomy via minimally invasive laparoscopic surgery increases the risk of vesicoureteral injury when compared with laparotomy. The objectives of our study were to (1) examine the rate of vesicoureteral injury on benign hysterectomy by the surgical approach and (2) compare the risk of vesicoureteral injury specifically between minimally invasive laparoscopic and abdominal hysterectomy on a populational level.

Design: Retrospective population-based observational study. Read More

Yeungnam Univ J Med 2018 12 31;35(2):179-186. Epub 2018 Dec 31.

Department of Urology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.

Background: To evaluate the success rate of balloon dilation and the factors possibly influencing the outcomes of balloon dilation for the ureteric strictured portion of ureteroureterostomy (UUS) site in patients with post-gynecologic surgeries.

Methods: A single institution data base was screened for the patients who received balloon dilation for a treatment of ureteral stricture diagnosed after gynecologic surgery. Overall 114 patients underwent primary intra-operative UUS due to ureteral injury during gynecologic surgery. Read More

Am J Obstet Gynecol 2019 10 22;221(4):357.e1-357.e5. Epub 2019 Jul 22.

Minnesota Perinatal Physicians, Allina Health, Minnesota, MN.

Background: Placenta accreta spectrum affects approximately 3 in 1000 pregnancies. There is a paucity of data evaluating the effect of placental location on diagnosis, risk factors, and resultant outcomes in cases of placenta accreta spectrum.

Objective: We analyzed placenta accreta spectrum cases to assess whether risk factors or maternal outcomes varied based on placental location. Read More

Obstet Gynecol 2019 08;134(2):241-249

Stanford University School of Medicine, Stanford, and Santa Clara Valley Medical Center, San Jose, California.

Objective: To explore the rates and risk factors for sustaining a genitourinary injury during hysterectomy for benign indications.

Methods: In this population-based cohort study, all women who underwent hysterectomy for benign indications were identified from the Office of Statewide Health Planning and Development databases in California (2005-2011). Genitourinary injuries were further classified as identified at the time of hysterectomy, identified after the date of hysterectomy; or unidentified until a fistula developed. Read More

J Urol 2019 11 9;202(5):1054-1055. Epub 2019 Oct 9.

Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Arch Esp Urol 2019 May;72(4):428-435

UGC de Urología. Hospital Universitario de Puerto Real. Puerto Real. Cádiz. España.

Objective: This paper describes our initial experience with laparoscopic ureteroneocystostomy in two patients with distal ureter lesions following gynaecological surgery (hysterectomy). Furthermore, we review the evidence on the incidence, prevention, and management of urinary tract injuries that occur during laparoscopic gynaecological surgery. METHOD: Two patients with iatrogenic lower ureteral injuries during hysterectomy leading to ureterovaginal fistula underwent laparoscopic ureteroneocystostomy with a psoas hitch. Read More

Surg Radiol Anat 2019 Aug 6;41(8):859-867. Epub 2019 May 6.

Department of Obstetrics and Gynaecology and Reproductive Medicine, Université Saint-Quentin-en-Yvelines, Hôpital de Poissy, 10 r Champ Gaillard, 78300, Poissy, France.

Purpose: To describe the procedure of laparoscopic extrafascial hysterectomy to avoid ureter injury.

Methods: Data were obtained from: (1) anatomic study of ten fresh female cadavers to measure the distance between the point where the ureter and uterine artery cross and the level of section of the ascending branch of the uterine artery during extrafascial dissection of the uterine pedicle and uterosacral ligament (Paris School of Surgery). The Wilcoxon test was used to compare measurements within each subject. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Jun 19;237:139-144. Epub 2019 Apr 19.

Department of Obstetrics and Gynecology, Shaare Zedek Medical Center Affiliated With The Hebrew University Hadassah School of Medicine, Jerusalem, Israel.

Background: Adherent and invasive placenta, termed Placenta Creta Spectrum (PCS), is associated with increased maternal morbidity and mortality. Incidence and risk factors for Placenta Creta are on the rise and call to optimize the obstetric care for this condition.

Objectives: We sought to compare maternal and neonatal outcomes between a ProActive Peripartum Multidisciplinary Approach (PAMA) as compared to the urgent management of the Placenta Creta Spectrum patients. Read More

Zhonghua Fu Chan Ke Za Zhi 2019 Apr;54(4):232-238

Department of Obstetrics and Gynecology, Fourth Medical Center of PLA General Hospital, Beijing 100048, China.

To evaluate the indications and clinic outcomes of vaginal high uterosacral ligament suspension (HUS) for treatment of recurrent advanced pelvic organ prolapse (POP). This retrospective study analyzed 42 women with recurrent advanced POP who were referred to Fourth Medical Center of PLA General Hospital and underwent transvaginal HUS between November 2005 and January 2018. Primary surgeries included 30 vaginal colporrhaphy, 5 Manchester operation, 5 transvaginal mesh repair,2 sacrospinous ligament fixation. Read More

J Minim Invasive Gynecol 2019 Nov - Dec;26(7):1226. Epub 2019 Apr 18.

Department of Gynecology, Mayo Clinic, Phoenix, Arizona (all authors).

Study Objective: To describe a standardized technique for robotic complete excision of sacrocolpopexy mesh.

Design: A step by step video demonstration of the technique.

Setting: A tertiary care academic hospital. Read More

Gynecol Obstet Fertil Senol 2019 06 16;47(6):497-503. Epub 2019 Apr 16.

Chirurgie cancérologique gynécologique et du sein, hôpital Européen Georges-Pompidou, AP-HP, 75015 Paris, France; Inserm UMR-S 747, université Paris-Descartes, 75015 Paris, France; Faculté de Médecine, Sorbonne Paris-Cité, université Paris-Descartes, 75006 Paris, France. Electronic address:

Objectives: Lynch syndrome (LS) is a hereditary predisposition to cancers, first of all, colo-rectal and endometrial cancers in women. Although recommended, gynecologic screening has never proven its benefit. Prophylactic surgery can be considered once the parental project is completed. Read More

Int Urogynecol J 2020 02 16;31(2):359-363. Epub 2019 Apr 16.

Departments of Obstetrics & Gynecology, School of Medicine, West Virginia University, PO Box 9186, Robert C. Byrd Health Sciences Center, Morgantown, WV, 26506, USA.

Introduction And Hypothesis: Ureteral injuries are a source of morbidity, and delays in diagnosis can increase the risk for long-term sequelae. Our aim was to quantify and describe iatrogenic ureteral injuries in a rural tertiary care center. Our secondary goal was to evaluate the impact of delayed diagnosis of ureteral injury on patient outcomes and whether cystoscopy had any influence on these outcomes. Read More

J Minim Invasive Gynecol 2019 Sep - Oct;26(6):1015. Epub 2019 Apr 10.

Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel (Drs. Lowenstein, Paz, Lauterbach, and Matanes); Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel (Drs. Lowenstein, Paz, Lauterbach, and Matanes). Electronic address:

Study Objective: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) offers similar advantages of traditional vaginal surgery including no incisional pain as well as a better cosmetic outcome. Furthermore, vNOTES allows the surgeon to overcome the limited surgical space and lack of exposure when using the traditional vaginal instrumentation. Vaginal uterosacral ligament suspension subsequent to vaginal hysterectomy has the advantages of a mesh-free, minimally invasive approach for the treatment of pelvic organ prolapse. Read More

Obstet Gynecol 2019 05;133(5):888-895

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, the Robert H. Lurie Comprehensive Cancer Center, Northwestern University, and the Center for Healthcare Studies, Institute for Public Health in Medicine, Chicago, Illinois; the Division of Minimally Invasive Gynecology, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California; and the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective: To compare the rate of delayed 30-day lower genitourinary tract injury in women who underwent cystoscopy at the time of hysterectomy for benign indications to those who did not.

Methods: This was a retrospective cohort study of patients who underwent hysterectomy without a concomitant procedure for prolapse or incontinence for benign pathology with a general obstetrician-gynecologist (ob-gyn) recorded in the National Surgical Quality Improvement Program targeted hysterectomy file between 2015 and 2017. The primary outcome was a delayed lower genitourinary tract injury in the 30 days after hysterectomy. Read More

Am J Obstet Gynecol 2019 04 24;220(4):369.e1-369.e7. Epub 2019 Jan 24.

Division of Urogynecology, Department of Obstetrics and Gynecology, Trinity Health of New England, Hartford, CT.

Background: Gynecologists debate the optimal use for intraoperative cystoscopy at the time of benign hysterectomy. Although adding cystoscopy leads to additional up-front cost, it may also enable intraoperative detection of a urinary tract injury that may otherwise go unnoticed. Prompt injury detection and intraoperative repair decreases morbidity and is less costly than postoperative diagnosis and treatment. Read More

Sao Paulo Med J 2018 Sep-Oct;136(5):385-389

MD. Associate Professor, Department of Obstetrics and Gynecology, Health Sciences University Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

Background: The number of hysterectomized patients with previous cesarean sections (CSs) has increased due to increasing CS rates. A previous history of CS has been demonstrated to be an important risk factor for major complications in total laparoscopic hysterectomy. The aim here was to evaluate the major complications and safety of TLH in patients with previous CS. Read More

Mali Med 2018 ;33(2):9-12

Introduction: Bladder and ureteral lesions are the most common urologic complications occurring during pelvic surgery with 1% and 0.5% to 3%, respectively. These lesions are rarely recognized intraoperatively and pose a major problem to urologists, gynecologists, and general surgeons. Read More

Int Urogynecol J 2019 05 20;30(5):843-844. Epub 2018 Nov 20.

University of Queensland, Rural Clinical School, PO Box 4143, Rockhampton, QLD, 4700, Australia.

Introduction And Hypothesis: Ureteric injury is a serious complication in gynaecological surgery. Identification and dissection of the ureter is important to minimise the risk of injury. However, some pelvic pathologies and previous pelvic surgery can render laparoscopic identification and dissection of the ureter difficult and risky. Read More

J Minim Invasive Gynecol 2019 May - Jun;26(4):608-617. Epub 2018 Nov 17.

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland (all authors).

Ureteral injury is a known complication of minimally invasive gynecologic surgery. Despite being discussed preoperatively and included in consent forms, litigations that involve such injury continue to be prevalent. Our aim was to review all major litigations involving ureteral injuries related to minimally invasive gynecologic surgery to determine the most common allegations from plaintiffs and highlight factors that aided defendants. Read More

Curr Opin Obstet Gynecol 2018 12;30(6):441-445

Division of Urogynecology and Reconstructive Pelvic Surgery, Women & Infants Hospital of Rhode Island/Warren Alpert Medical School of Brown University, Providence, RI, USA.

Purpose Of Review: This article provides an update on the use of cystoscopy at the time of prolapse and incontinence surgery.

Recent Findings: Iatrogenic lower urinary tract injury is a known complication of antiincontinence procedures and surgical repair of pelvic organ prolapse. Intraoperative cystoscopy improves detection of lower urinary tract injuries in women undergoing pelvic floor surgery. Read More

Pan Afr Med J 2018 20;30:145. Epub 2018 Jun 20.

Service d'Urologie, CHU Ibn El Jazzar, Kairouan, Tunisie.

Iatrogenic ureteral lesions may occur after any pelvic surgery. They are severe and can affect renal function and even vital prognosis. This study aimed to determine the clinical aspects and the therapeutic approaches of this injury. Read More

BMC Urol 2018 Oct 29;18(1):96. Epub 2018 Oct 29.

Department of Urology, The Fourth Hospital of China Medical University, 4 Chongshan Road, Shenyang, 110032, China.

Objective: To evaluate the procedure of endoscopic surgery for ureterovaginal fistula (UVF) and its clinical efficacy.

Materials And Methods: A retrospective analysis of 46 patients needing treatment for UVF with endourology technology was conducted (all patients had unilateral ureteric injury, 27 left and 19 right). Transurethral retrograde ureteric stenting or realignment retrograde/antegrade approach stenting was used to treat the fistula, and the relation between treatment and prognosis was analyzed. Read More

JSLS 2018 Jul-Sep;22(3)

Département de gynécologie du CHU de Québec - Université Laval, Québec, QC, Canada.

Background And Objectives: Laparoscopic hysterectomy poses the risk of lower urinary tract injury, and intraoperative recognition of urinary tract injury is often difficult. We sought to evaluate sodium fluorescein coloration of ureteral jets during cystoscopy after laparoscopic hysterectomy and to evaluate surgeons' satisfaction with this method of injury detection.

Methods: This was an observational study, in which data were collected prospectively. Read More

J Gynecol Obstet Hum Reprod 2019 Jan 12;48(1):45-49. Epub 2018 Oct 12.

Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital Izmir, Turkey. Electronic address:

Objectives: Determining the incidence and causes of lower urinary tract injury in patients undergoing total laparoscopic hysterectomy and examining the procedures applied for management.

Methods: Patients who underwent total laparoscopic hysterectomy in a large referral center between 1 January 2015 and 31 October 2017 for benign gynecological reasons were included in the study. Patients who underwent laparoscopic supracervical hysterectomy, laparoscopy-assisted vaginal hysterectomy and robot-assisted laparoscopic hysterectomy were not included in this study. Read More

Am J Obstet Gynecol 2018 10 3;219(4):395.e1-395.e11. Epub 2018 Jul 3.

Division of Gynecologic Surgery and Pelvic Medicine, Department of Obstetrics and Gynecology, St Michael's Hospital, Toronto, Ontario, Canada; Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: Competency-based education requires educators to use simulation training for the purposes of education and assessment of resident trainees. Research demonstrates that improvement in surgical skills acquired in a simulated environment is transferrable to the operative environment. Laparoscopic retroperitoneal dissection, opening the retroperitoneal space and identifying the ureter, is a fundamental skill for gynecologists. Read More

Int Urogynecol J 2019 Jan 15;30(1):163-165. Epub 2018 Sep 15.

Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.

Introduction And Hypothesis: We present a video demonstrating technical considerations and tips for cystoscopic placement of external, lighted, and internal ureteral stents.

Methods: Cystoscopic ureteral stent placement is useful in cases where difficult pelvic periureter dissection is expected or encountered. In this video, we review cystoscopy basics, our approach to various types of retrograde stent placement, and performing retrograde pyelograms. Read More

J Formos Med Assoc 2018 Nov 11;117(11):964-972. Epub 2018 Sep 11.

Department of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan. Electronic address:

Background: Intravascular leiomyomatosis (IVL) is relatively rare. The optimal surgical method and long-term outcomes are not completely understood.

Methods: Medical records between 2007 and 2017 in our hospital were analyzed to identify IVL cases with surgical intervention. Read More

Acta Obstet Gynecol Scand 2018 Dec 7;97(12):1463-1470. Epub 2018 Oct 7.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Introduction: There is a paucity of data on the impact of organ injury on long-term outcomes after a hysterectomy for benign indications. The aim of this study was to investigate fistula formation and patient-reported long-term health outcomes after organ injury at the time of a hysterectomy.

Material And Methods: This was a population-based study of 22 538 women undergoing a hysterectomy between 2000 and 2014 in Sweden. Read More

J Minim Invasive Gynecol 2019 Mar - Apr;26(3):558-563. Epub 2018 Aug 27.

Urology Unit, Brazilian National Cancer Institute, Rio de Janeiro, Brazil (Dr. da Silva).

Gynecologic surgery is associated with various perioperative complications, especially urinary tract injuries. Intraoperative cystoscopy plays an important role in allowing assessment of the bladder to ensure the absence of injuries. Verification of the urinary jets from the ureters is a fundamental step that is not always easy to accomplish. Read More

Int J Gynecol Cancer 2018 10;28(8):1569-1575

Gynecologic Oncology, Fondazione Policlinico A. Gemelli, IRCCS.

Background: Platinum-based chemotherapy plus bevacizumab is the new standard of care in stage IVB cervical cancer (CC) patients. In this new scenario, radical surgery could be offered in selected cases with an optimal clinical response. Potential surgical complications related to previous bevacizumab treatment have never been described before in this type of setting. Read More

Best Pract Res Clin Obstet Gynaecol 2019 Jan 28;54:2-11. Epub 2018 Jun 28.

Division of Urology, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa. Electronic address:

The presentation and management of bladder, ureteric and urethral injuries during and following urogynaecology surgery are discussed. Applied anatomy is reviewed, and the surgical management of injuries diagnosed intra- and post-operatively is discussed. Read More

J Obstet Gynaecol Res 2018 Nov 20;44(11):2067-2076. Epub 2018 Aug 20.

Tottori University Faculty of Medicine, Yonago, Japan.

Aim: Since 2014, Japan Society of Gynecologic and Obstetric Endoscopy and minimally invasive therapy (JSGOE) conducted a nationwide survey on gynecologic endoscopic surgery. We aimed to evaluate the current status and complications associated with endoscopic surgery by Japan gynecologic and obstetric endoscopy-database registry system (JOE-D).

Methods: Electrical medical records concerning the endoscopic surgery were generated from the daily use of reporting system. Read More

J Nepal Health Res Counc 2018 Jul 4;16(2):233-238. Epub 2018 Jul 4.

Department of Obstetrics and Gynaecology, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.

Background: Iatrogenic ureteric injuries leading to fistula are rare but devastating complications of obstetric and gynecological surgeries. The aim of the study was to review the demography of ureterovaginal fistula (UVF) and its surgical outcome in Kathmandu Model Hospital.

Methods: This is a review of 15 patients of ureterovaginal fistula who were referred to department of Obstetrics and Gynaecology of Kathmandu Model Hospital from Feb 2014 to Sept 2017. Read More

Am J Obstet Gynecol 2018 07;219(1):75-77

Dell Medical School, University of Texas, Austin, TX. Electronic address:

Injury to the bladder and/or ureters is the cause of significant morbidity, and efforts to reduce these injuries are important. This debate presents arguments that both support, and refute, the value of routine cystoscopy at the time of benign hysterectomy. Proponents of routine cystoscopy state that injuries are more likely to be detected and repaired when cystoscopy is routinely performed. Read More

J Minim Invasive Gynecol 2019 Mar - Apr;26(3):401. Epub 2018 Jun 13.

Department of Obstetrics and Gynaecology, Epsom & St Helier University Hospitals NHS Trust, Sutton, United Kingdom. Electronic address:

Study Objective: To demonstrate techniques of ureterolysis during complex laparoscopic hysterectomy.

Design: Technical video demonstrating different approaches to ureterolysis for complex benign pathology during laparoscopic hysterectomy (Canadian Task Force classification III).

Setting: Benign gynecology department at a university hospital. Read More

Zhonghua Zhong Liu Za Zhi 2018 Apr;40(4):288-294

Medical College of Nanchang University, Nanchang 330006, China.

To introduce the laparoscopic type C1 hysterectomy based on the anatomic landmark of the uterus deep vein and its branched and to evaluate its feasibility and safety for cervical cancer and its effect to bladder function and to provide some reference to simplify the surgical procedures of laparoscopic type C1 hysterectomy. The clinicopathologic data of the patients with stage ⅠA2~ⅡB cervical cancer and who underwent the laparoscopic C1 hysterectomy based on anatomic landmark of the uterus deep vein and its branches between March 2010 and December 2015 was retrospectively analysed. A total of 99 patients received laparoscopic type C1 hysterectomy based on the anatomic landmark of the uterus deep vein and its branches, in which 93 patients reserved unilateral or bilateral pelvic autonomic nerve successfully, the other 6 patients were transfered to receive type C2 hysterectomy due to adhesions, bleeding or the low possibility of curative resection. Read More

Hinyokika Kiyo 2018 Mar;64(3):95-99

The Department of Urology, Nara Prefecture General Medical Center.

Iatrogenic urinary tract injuries are known complications of digestive and pelvic surgeries. We retrospectively reviewed 13 patients with bladder injuries and 16 patients with ureteral injuries requiring surgical repair or stent placement in our hospital between 2013 and 2016. Obstetric-gynecologic surgery accounted for 10 bladder injuries and 11 ureteral injuries on hysterectomy and Cesarean section. Read More

Int J Gynecol Cancer 2018 06;28(5):989-995

Division of Urology, Department of Surgery, University of Toronto, Toronto.

Objective: The treatment of cervical cancer can result in genitourinary morbidity. We measured selected urologic procedures after the treatment of cervical cancer with either surgery or radiation.

Methods: We used administrative data from the province of Ontario Canada to identify adult women who had nonmetastatic cervical cancer and were treated with surgery or radiation between 1994 and 2014. Read More

Medicine (Baltimore) 2018 Apr;97(15):e0438

Department of Obstetrics.

The aim of this study was to compare the accuracy of cystoscopy and ultrasonography for the prenatal diagnosis of abnormally invasive placenta (AIP), including its subgroups: placenta accreta (PA), placenta increta (PI), and placenta percreta (PP).A retrospective observational study including a total of 85 pregnant women at high risk for AIP underwent prenatal cystoscopy and ultrasonography evaluations. The sensitivity (Se), specificity (Sp), positive predictive value, negative predictive value, and exact diagnosed were calculated and compared for both cystoscopy and ultrasonography. Read More

Eur J Obstet Gynecol Reprod Biol 2018 Jun 23;225:1-4. Epub 2018 Mar 23.

Division of Gynaecology and Obstetrics, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Objectives: Accidental ureteral injury with gynaecologic surgery, especially hysterectomy, represents a high risk of patient morbidity. The incidence may vary from centre to centre. As the introduction of new minimally invasive surgical techniques and instruments may have affected the incidence of ureteral injury, we de novo analysed the incidence data for the last seven years. Read More

Medicine (Baltimore) 2018 Mar;97(13):e0173

Department of Urology, The First Hospital of Jilin University, Changchun, P.R. China.

Radiotherapy is a reliable method to cure cervical cancer patients, but it could cause serious urological complications after the treatment due to the anatomical location of the cervix. The main purpose of this retrospective analysis is to study the incidence, latency, and therapeutic efficacy of urological complications caused by radical hysterectomy with postoperative radiotherapy or radiotherapy alone in patients with cervical cancer.A retrospective analysis was conducted on patients with cervical cancer who received radical hysterectomy with postoperative radiotherapy or radiotherapy alone at the First Hospital of Jilin University between January 2010 and May 2016. Read More

Int Urogynecol J 2018 08 2;29(8):1227-1229. Epub 2018 Mar 2.

Obstetrics and Gynecology Unit, P. Pederzoli Hospital, Peschiera del Garda, Verona, Italy.

Introduction And Hypothesis: Uterovaginal prolapse treatment is a challenge for the urogynecologist. Surgical management for apical prolapse can be successful with native tissue and uterosacral ligament (USL) fixation. However, some complications have been described, especially with use of the vaginal approach. Read More

J Urol 2018 06 2;199(6):1540-1545. Epub 2018 Mar 2.

Department of Urology, Loyola University Medical Center, Maywood, Illinois.

Purpose: Ureteral injury represents an uncommon but potentially morbid surgical complication. We sought to characterize the complications of iatrogenic ureteral injury and assess the effect of recognized vs delayed recognition on patient outcomes.

Materials And Methods: Patients who underwent hysterectomy were identified in the Healthcare Cost and Utilization Project California State Inpatient Database for 2007 to 2011. Read More

J Minim Invasive Gynecol 2018 Jul - Aug;25(5):867-871. Epub 2018 Jan 11.

Department of Women's Health at Henry Ford HospitalWayne State University School of Medicine, Detroit, Michigan. Electronic address:

Study Objective: To evaluate rates of urologic injury in patients who underwent robotic hysterectomy compared with laparoscopic, vaginal, and open hysterectomy.

Design: A retrospective analysis (Canadian Task Force classification II-2).

Setting: Henry Ford Health System, 2013 to 2016. Read More