gineco
ro
tehnici chirurgicale
if from the first postoperatory week.
The early diagnostic allow an efficient
treatment before the local inflammation
appear. Sadly, the diagnosis is late in the
majority of cases, so the procedure need
to be postponed for at least 3 months.
5. Urinary retention is usually transient
and give up after urethral cateterization,
sometimes being necessary to use “a
demeur” catheterization for a couple of
days. A urethral catheter is normally used
from the beginning in the procedures for
urogenital prolapse.
6. Hemorrhage. An early abundant
hemorrhage indicates a wrong
dissection layer; the lack of visibility
could lead to the interception of the
bladder. A sudden bleeding at the level
of the vaginal fornix is a sign in case of
uterine artery interception. Commonly,
the cauterization must be avoided in
order to reduce the death of the tissues
and to prevent vesicovaginal fistulae.
7. Dispareuny. Dispareuny appears
after an excessive tightening of the
vagina – a reason to avoid direct suture
Figure 17. Urethral lesions
on elevators muscles and appear of
vicious scars.
this artery is sectioned and ligaturated occurs, the rectum must be double 8. Recurrent rectocel, vaginal stenosis
during peritonization. The clinic layered sutured with vycril. The lesions and vault prolapse are considered rare
response of the interceptention of the of the bowel and of the rectum are rare complications if the diagnosis and
ureters is represented by anuria, fever, when uterus is well isolated and when surgical indications were correctly
side pain and ileus there are no intraperitoneal adhesions. applied.
3. Anal lesions – can be avoided using 4. Rectovaginal and uretrovaginal
a carefully dissection and by underlining fistulae are considered rare incidents Photos - courtesy Urology
the prerectal fascia. When those lesions but there is a possibility to manifest even Clinic Oradea
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