Urinary tract injury during hysterectomy: Does surgeon specialty and surgical volume matter?

doi:10.5662/wjm.v13.i2.18

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World Journal of Methodology

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Retrospective Cohort Study

World J Methodol. Mar 20, 2023; 13(2): 18-25
Published online Mar 20, 2023. doi: 10.5662/wjm.v13.i2.18

Table 3 Surgery type and concomitant procedures-subspecialty, n (%)

	General gynecologist, n = 255	Urogynecologist, n = 196	Gynecologic oncologist, n = 102	P value
Surgery				--
LAVH	144 (57)	0 (0)	25 (24)
LSH	13 (5)	0 (0)	1 (1)
TLH	47 (18)	0 (0)	13 (13)
RATLH	50 (20)	196 (100)	63 (62)
Concomitant procedures				--
None	19 (8)	0 (0)	1 (1)
BS	168 (66)	13 (7)	13 (13)
BSO	66 (26)	2 (10	88 (86)
BS+SC	0 (0)	34 (17)	0 (0)
BSO+SC	0 (0)	116 (59)	0 (0)
SC	0 (0)	3 (2)	0 (0)
BS+USLS	1 (0)	18 (9)	0 (0)
BSO+USLS	1 (0)	7 (3)	0 (0)
USLS	0 (0)	3 (2)	0 (0)
Rectopexy	2 (1)	31 (16)	0 (0)	--
Cystourethroscopy	105 (41)	194 (99)	30 (29)	< 0.0001
Lysis of adhesions	55 (22)	68 (35)	34 (34)	0.004
Uterolysis	2 (1)	11 (6)	2 (2)	0.01
Conversion to open	5 (2)	0 (0)	2 (2)	--

BS: Bilateral salpingectomy; BSO: Bilateral salpingo-oophorectomy; SC: Sacrocolpopexy; LAVH: Laparoscopic assisted vaginal hysterectomy; LSH: Laparoscopic supracervical hysterectomy; RATLH: Robotic-assisted laparoscopic hysterectomy; TLH: Total laparoscopic hysterectomy; USLS: Uterosacral ligament suspension.

Citation: Khair E, Afzal F, Kulkarni S, Duhe' B, Hagglund K, Aslam MF. Urinary tract injury during hysterectomy: Does surgeon specialty and surgical volume matter? World J Methodol 2023; 13(2): 18-25
URL: https://www.wjgnet.com/2222-0682/full/v13/i2/18.htm
DOI: https://dx.doi.org/10.5662/wjm.v13.i2.18