RESUMO
OBJECTIVE: A case of urinary ascites following a bladder injury during laparoscopic myomectomy, and its resolution. CLINICAL CASE: 42-year-old woman referred for urologic consultation for acute urinary retention 11 days after myomectomy. RESULTS: Ultrasound showed abdominal ascites. Cystoscopy gave evidence of one-centimeter bladder dome injury. During retrograde cystography contrast material leaked out through the bladder. CONCLUSION: Early treatment with drainage of urinary ascites and bladder injury surgical repair had excellent results.
Assuntos
Ascite/etiologia , Histerectomia/efeitos adversos , Bexiga Urinária/lesões , Urina , Adulto , Feminino , HumanosRESUMO
OBJECTIVE: Evaluate the complications and short term sucess rate of the transobturator tape for the treatment of stress urinary incontinence. MATERIAL AND METHODS: It is a retrospective study of the transobturator tapes perform in 2005 and 2006. All the procedures were done with epidural anesthesia. The success rate, the immediate, short-term and long term complications were recorded at the first, second and third year. RESULTS: 28 women were included in the study, 54% of them with stress urinary incontinence. 25% were solely transobturator procedures. mong the complications were 2 vesical puntures, 1 periurethral fascia trauma and 5 urinary retention during the first 24 hours. In the 1 and 2 year follow-up were 2 cases of overactive detrusor. Objective sucess was 90% and subjective sucess was 92%. CONCLUSIONS: Transobturator tape is a highly successful and a low morbility procedure.