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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

J Minim Invasive Gynecol 2018 Nov 17. 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

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

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

Am J Obstet Gynecol 2018 Oct 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

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

J Minim Invasive Gynecol 2018 Aug 27. 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 Oct;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

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

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

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 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

Urology 2018 Mar 27;113:e9-e10. Epub 2017 Dec 27.

Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA.

Although iatrogenic ureteral injuries are rare, they have potentially devastating consequences for both patients and physicians, and their management remains challenging. We report a case of a 51-year-old morbidly obese (body mass index = 63) woman who suffered an iatrogenic 15-cm right ureteral avulsion during hysteroscopic biopsy. Preoperative antegrade and retrograde pyelograms demonstrated no true renal pelvis and a 3-cm blind-ending distal ureteral stump. Read More

World Neurosurg 2018 Mar 8;111:28-35. Epub 2017 Dec 8.

Department of Neurosurgery, Cliniques Universitaires Saint-Luc Bruxelles, Brussels, Belgium. Electronic address:

Background: Injury of the ureter is a potentially devastating complication most often reported in gynecologic, colorectal, or vascular pelvic surgery or endoscopic procedures for ureteric diseases. We report a rare case of ureteral rupture occurring as a complication of percutaneous pedicle screw placement.

Case Description: A 60-year-old man reported unbearable abdominal pain on the day after right L4-L5 transforaminal intervertebral fusion and percutaneous pedicle screw placement. Read More

Obstet Gynecol 2018 01;131(1):100-108

Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts.

Objective: To perform a comprehensive literature review of the incidence, location, etiology, timing, management, and long-term sequelae of urinary tract injury in gynecologic laparoscopy for benign indication.

Data Sources: A systematic review of PubMed, EMBASE, Cochrane Library, and ClinicalTrials.gov was conducted. Read More

Int J Gynaecol Obstet 2018 Mar 22;140(3):352-356. Epub 2017 Dec 22.

School of Medicine, Saint Joseph University, Beirut, Lebanon.

Objective: To report the outcomes of women with placenta percreta who were surgically treated by a specialized technique based on gynecologic oncology experience, and to demonstrate its safety in preventing ureteral lesions and reducing blood loss.

Methods: In the present retrospective study, data from patients with placenta percreta radically treated at Hôtel-Dieu de France, Beirut, Lebanon, between December 2012 and January 2017 were reviewed. Demographic, pathology, and delivery data, medical history, per-operative and postoperative information, and neonatal data were assessed. Read More

J Endourol Case Rep 2017 1;3(1):158-161. Epub 2017 Nov 1.

Division of Urology, St. Michael's Hospital, University of Toronto, Toronto, Canada.

Iatrogenic ureteral injuries account for ∼75% of all ureteral injuries and occur primarily during urologic, gynecologic, general, and vascular surgery procedures. Ureteral injury during spine surgery is a rare complication with only occasional reports in the literature. In this case report, we present a case of unrecognized left ureteral injury during an open right lumbar discectomy with a delayed presentation, and discuss the steps required for diagnosis and management. Read More

Turk J Obstet Gynecol 2017 Sep 30;14(3):191-194. Epub 2017 Sep 30.

University of Health Sciences, Zeynep Kamil Women and Children's Health Training and Research Hospital, İstanbul, Turkey.

Ureter injuries are uncommon but dreaded complications in gynecologic surgery and a frequent cause of conversion to laparotomy. Recently, a few papers reported the repair of gynecologic ureteral injuries using laparoscopy with encouraging results. In these case reports, we aimed to present two laparoscopically repaired ureter injuries during total laparoscopic hysterectomies (TLH). Read More

Int Urogynecol J 2018 01 16;29(1):161-163. Epub 2017 Oct 16.

AUSL della Romagna - Ospedale Infermi, Rimini, Italy.

Introduction And Hypothesis: Uterosacral ligament (USL) suspension is an effective and versatile surgical technique for repairing pelvic organ prolapse. However, ureteral injury is a feared complication that may act as a significant deterrent to the use of USL suspension. The aim of the video is to provide key steps to minimize the risk of ureteral injury while achieving successful transvaginal USL suspension. Read More

BMJ Case Rep 2017 Oct 15;2017. Epub 2017 Oct 15.

Department of Internal Medicine, University Teaching Hospital of Kigali, Kigali, Rwanda.

A 46-year-old woman who had a recent total abdominal hysterectomy presented with a 1 month history of lower abdominal pain, 1 week of nausea and vomiting as well as decreased urinary output preceded by a year of significant unintentional weight loss. On renal imaging, she was found to have bilateral hydronephrosis and hydroureters in the setting of bilateral distal ureteric obstruction complicated with acute kidney injury and severe hyperkalaemia requiring haemodialysis. The initial concern was for ureteric injury, a known complication of abdominal hysterectomy procedures, however, a urological intervention, performed 9 months later to relieve the ureteric obstruction, revealed purulent material within the left ureter that was smear positive for acid fast bacilli. Read More

Int Urogynecol J 2018 09 11;29(9):1303-1309. Epub 2017 Oct 11.

, Mwanza, Tanzania.

Introduction: Ureteric injuries are among the most serious complications of pelvic surgery. The incidence in low-resource settings is not well documented.

Methods: This retrospective review analyzes a cohort of 365 ureteric injuries with ureterovaginal fistulas in 353 women following obstetric and gynecologic operations in 11 countries in Africa and Asia, all low-resource settings. Read More

Int Urogynecol J 2018 09 25;29(9):1397-1402. Epub 2017 Sep 25.

Department of Urology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 59 Dongsu-ro, Bupyeng-gu, Incheon, Korea.

Introduction And Hypothesis: Ureteral injuries are well-known complications of any gynecologic surgery. We evaluated the safety and feasibility of ureteroscopic double-J (DJ) ureteral stenting in patients with distal ureteral injuries after gynecologic surgery.

Methods: Eleven consecutive patients with an iatrogenic ureteral injury in the distal ureter secondary to gynecologic surgery underwent DJ ureteral stenting between March 2008 and January 2016. Read More

Int Urogynecol J 2018 Apr 7;29(4):595-597. Epub 2017 Sep 7.

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

Introduction: We present a video describing the technical considerations for performing an extravesical robotic ureteral reimplantation.

Methods: A 55-year old woman presented with urinary incontinence secondary to a ureterovaginal fistula after robotic-assisted hysterectomy. After failure of more conservative measures, she proceeded to a robotic ureteral reimplantation. Read More

Int Urol Nephrol 2017 Nov 1;49(11):1915-1919. Epub 2017 Sep 1.

Gynecology and Obstetrics Department, Loma Linda University School of Medicine, 11370 Anderson St., Suite 3950, Loma Linda, CA, 92354, USA.

Purpose: To illustrate a simple method that screens for ureteral injury in the acute postoperative period after urogynecologic surgeries.

Methods: Serum creatinine measurements in the preoperative (baseline) and postoperative periods of urogynecologic surgeries were determined and the correlation of the change to ureteral injury and/or obstruction analyzed. The sample size calculation showed 7 cases and 28 controls were sufficient to detect significant changes in creatinine. Read More

BJOG 2017 Sep;124(10):1557

ST. Mary's Hospital, Manchester, UK.

Clin Anat 2017 Oct 22;30(7):946-952. Epub 2017 Aug 22.

Department of Anatomical Sciences, St. George's University, Grenada, West Indies.

Hysterectomy is the most commonly performed gynecological procedure in the United States with three possible surgical approaches; vaginal, abdominal and laparoscopic. As with any surgical procedure, various anatomical complications can arise. These include injuries to anatomical structures such as the urinary bladder, ureter, intestines, rectum, anus, and a multitude of nervous structures. Read More

Arch Gynecol Obstet 2017 Sep 26;296(3):597-606. Epub 2017 Jul 26.

Section Minimally Invasive Gynecologic Surgery, Department of Gynecology, Leiden University Medical Center, PO Box 9600, 2300 RC, Leiden, The Netherlands.

Purpose: Since the introduction of minimally invasive gynecologic surgery, the percentage of advanced laparoscopic procedures has greatly increased worldwide. It seems therefore, timely to standardize laparoscopic gynecologic care according to the principles of evidence-based medicine. With this goal in mind-the Dutch Society of Gynecological Endoscopic Surgery initiated in The Netherlands the development of a national guideline for laparoscopic hysterectomy (LH). Read More

Am J Obstet Gynecol 2017 11 21;217(5):564.e1-564.e8. Epub 2017 Jul 21.

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

Background: Cesarean delivery is performed frequently worldwide, and follow-up studies that report complications at subsequent surgery are warranted.

Objectives: The aim of the study was to investigate the association between a previous abdominal delivery and complications during a subsequent hysterectomy and to estimate the fraction of complications that are driven by the presence of adhesions.

Study Design: This was a longitudinal population-based register study of 25354 women who underwent a benign hysterectomy at 46 hospital units in Sweden 2000-2014. Read More

Am J Obstet Gynecol 2017 10 8;217(4):483.e1-483.e3. Epub 2017 Jul 8.

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

Knowledge of ureteric anatomy is essential for ureteric injury prevention in laparoscopic gynecologic surgery. Rates of injury increase with limited surgical experience and reduced surgical volume. Currently, there are no low-fidelity or high-fidelity simulation models for teaching and practicing ureteric dissection. Read More

J Obstet Gynaecol Res 2017 Jul 14;43(7):1232-1237. Epub 2017 Jun 14.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.

Improved surgical techniques and immunosuppressant medications for organ transplantation have resulted in a significant increase in the number of women undergoing renal transplantation. Peritoneal dialysis (PD), a common supportive therapy for chronic renal failure, is also used in cases of renal transplantation failure. Herein, we report the first case of a rare total conventional laparoscopic gynecologic hysterectomy performed for endometrial cancer in a patient undergoing life-supportive PD as a result of renal transplantation failure. Read More

Prog Urol 2017 Jun - Jul;27(8-9):497-505. Epub 2017 May 23.

Service de gynécologie-obstétrique, hôpital de La Conception, 147, boulevard Baille, 13005 Marseille, France.

Objective: To assess safety anatomic results, satisfaction patient and to report short-term results of a new surgical approach for a combined treatment of pelvic organ prolapse (POP) of anterior and medium compartments.

Material And Methods: A longitudinal case series of 83 consecutive patients operated between January 2012 and April 2014 in four tertiary centers by 8 surgeons. Potential complications have been reported. Read More

Arch Esp Urol 2017 May;70(4):429-435

Unidad de Gestión Clínica de Urología. Hospital Jerez de la Frontera. Cádiz. España.

Objectives: The most frequent ureteral lesions are iatrogenic, mainly due to gynecologic and urologic procedures. The resolution and repair of these lesions, when they require surgery, is often the performance of ureteroneocystostomy. We describe the technique for the repair of distal ureter lesions that preserves both anatomy and function of the urinary tract (1). Read More

Scand J Urol 2017 Aug 7;51(4):329-334. Epub 2017 Apr 7.

a Department of Urology , Xiangya Hospital, Central South University , Changsha , Hunan , PR China.

Objectives: The aim of this study was to compare the operative and postoperative outcomes of laparoscopic ureteroureterostomy (LAP-UU) using a retrograde ureteroscopy-assisted technique with laparoscopic ureteroneocystostomy (LAP-UNC) in treating ureteral injury after gynecological surgery.

Materials And Methods: The study analyzed 60 ureteral injury repairs performed between May 2010 and February 2016 in patients who underwent either LAP-UU using the retrograde ureteroscopy-assisted technique (n = 26) or LAP-UNC (n = 34). Demographic parameters, operative variables and perioperative outcomes were retrospectively analyzed. Read More

J Minim Invasive Gynecol 2017 Sep - Oct;24(6):896. Epub 2017 Mar 3.

Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

Study Objective: To demonstrate principles of laparoscopic management of deeply infiltrating endometriosis requiring retroperitoneal entry.

Design: Step-by-step demonstration and explanation of technique using videos from patients with deeply infiltrating stage IV endometriosis who failed medical management (Canadian Task Force classification IIIB). This study was exempt from Institutional Review Board review. Read More

Am J Obstet Gynecol 2017 06 16;216(6):612.e1-612.e5. Epub 2017 Feb 16.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.

Background: Morbidly adherent placenta (MAP) is a serious obstetric complication causing mortality and morbidity.

Objective: To evaluate whether outcomes of patients with MAP improve with increasing experience within a well-established multidisciplinary team at a single referral center.

Study Design: All singleton pregnancies with pathology-confirmed MAP (including placenta accreta, increta, or percreta) managed by a multidisciplinary team between January 2011 and August 2016 were included in this retrospective study. Read More

Int Urogynecol J 2017 Sep 10;28(9):1421-1423. Epub 2017 Feb 10.

ASST Monza, Ospedale San Gerardo, U.O. Ginecologia, Via Pergolesi, 33, 20900, Monza, MB, Italy.

Introduction And Hypothesis: Posthysterectomy vaginal vault prolapse repair represents a challenge for urogynecologists. Surgical management can be successfully achieved with native tissue using a vaginal approach with uterosacral ligament (USL) suspension. However, severe complications have been described, mainly related to ureteral injury. Read More

J Obstet Gynaecol Res 2017 Mar 4;43(3):557-563. Epub 2017 Feb 4.

Department of Obstetrics & Gynaecology, Faculty of Medicine Ramathibodi Hospital, Bangkok, Thailand.

Aims: The study was conducted to evaluate the incidence of urologic injuries during gynecologic surgery, study the management and outcome of such injuries, and identify risk factors that may be associated with urologic injuries.

Methods: A case-control study was conducted in patients who underwent gynecologic surgery from 2005 to 2014 in the university hospital. The study cases referred to patients who had urologic injury during gynecologic surgery and the control cases referred to patients who had gynecologic surgery matching the same period, type of procedure, and etiological disease leading to surgery. Read More

Lancet Oncol 2017 03 1;18(3):384-392. Epub 2017 Feb 1.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.

Background: Sentinel-lymph-node mapping has been advocated as an alternative staging technique for endometrial cancer. The aim of this study was to measure the sensitivity and negative predictive value of sentinel-lymph-node mapping compared with the gold standard of complete lymphadenectomy in detecting metastatic disease for endometrial cancer.

Methods: In the FIRES multicentre, prospective, cohort study patients with clinical stage 1 endometrial cancer of all histologies and grades undergoing robotic staging were eligible for study inclusion. Read More

Taiwan J Obstet Gynecol 2016 Dec;55(6):891-892

Department of Gynaecology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. Electronic address:

Eur J Obstet Gynecol Reprod Biol 2017 Mar 6;210:132-138. Epub 2016 Dec 6.

Department of Health Informatics, Kyoto University School of Public Health, Kyoto City, Kyoto, Japan.

Objective: The purpose of this study was to compare surgical outcomes following conventional laparoscopic hysterectomy (LH) (C-LH) versus the combination method of LH plus laparoscopic myomectomy (LM) (LH+LM) for the treatment of large uterine fibroids.

Study Design: This study was performed in 56 patients (uterine weights ≥500g) who underwent either C-LH or LH+LM performed by the same surgeon between May 2010 and May 2016. LH+LM was performed when C-LH was problematic because of poor visibility and/or mobility due to uterine fibroids. Read More

Ginekol Pol 2016 ;87(10):690-696

Department of Urology, Medical University of Warsaw, Poland.

Objectives: To analyzed the therapeutic results for patients with overlooked iatrogenic ureteral injuries after gynecological surgery, treated at the department since 1990. Before the era of endourology, ureteral injuries were operated on immediately after making a diagnosis. This approach was changed after the popularization of percutaneous nephrostomy (PN) and ureteral stenting using a JJ stent. Read More

J Obstet Gynaecol Res 2017 Jan 8;43(1):196-201. Epub 2016 Dec 8.

Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Incheon, Korea.

Aim: Patients who have undergone a cesarean section (CS) prior to hysterectomy are at a higher perioperative risk of complications. The purpose of this study was to evaluate the safety of total laparoscopic hysterectomy (TLH) in patients with prior CS.

Methods: We enrolled 482 patients treated with TLH. Read More

Obstet Gynecol 2016 12;128(6):1378-1383

Division of Urogynecology, Lehigh Valley Health Network, Allentown, Pennsylvania; the Departments of Gynecology and Urology, Cleveland Clinic Florida, Weston, Florida; the Department of Gynecology, Cleveland Clinic, Cleveland, Ohio; and the Department of Surgery, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Objective: To compare different modalities to aid in the evaluation of intraoperative ureteral patency on cystoscopy in the postindigo carmine era.

Methods: In a randomized controlled trial, participants undergoing pelvic surgery were randomized into one of four groups: saline distention (control), 10% dextrose distention, oral phenazopyridine, or intravenous sodium fluorescein. Our primary outcome was visibility of the ureteral jets. Read More

Int Urogynecol J 2017 Feb 10;28(2):321-323. Epub 2016 Sep 10.

Japan, Obstetrics and Gynecology, University of Occupational and Environmental Health, 1-17-1 Hamamachi, Wakamatsu-ku, Kitakyushu, 808-0024, Japan.

Introduction And Hypothesis: Transvaginal ipsilateral uterosacral ligament colpopexy for pelvic organ prolapse (POP), which was reported by Shull et al. (Shull's colpopexy) in 2000, is one of the most frequently performed non-mesh pelvic floor reconstructive surgical procedures. Despite its excellent anatomical outcomes, ureteral injury and difficulty in uterosacral ligament detection (especially in patients with severe POP) are typical issues with this procedure. Read More

Gynecol Obstet Fertil 2016 Sep 24;44(9):517-25. Epub 2016 Aug 24.

Service de chirurgie cancérologique, gynécologique et du sein, hôpital européen Georges-Pompidou (HEGP), 20, rue Leblanc, 75908 Paris cedex 15, France; Faculté de médecine, université Paris Descartes, 15, rue de l'École-de-Médecine, 75006 Paris, France.

Radical hysterectomy (RH) is an effective treatment for early-stage cervical cancer IA2 to IIA1 but RH is often associated with several significant complications such as urinary, anorectal and sexual dysfunction due to pelvic nerve injuries. Pelvic autonomic nerves including the superior hypogastric plexus (SHP), hypogastric nerves (HN), pelvic splanchnic nerves (PSN), sacral splanchnic nerves (SSN), inferior hypogastric plexus (IHP) and efferent branches of the IHP. We aimed to precise the neuroanatomy of the female pelvis in order to provide key-points of surgical anatomy to improve NSRH for cervical cancer. Read More