Diagnosis of bladder defects in the postoperative period after cesarean section

Medzhidova D.R.

Vishnevsky Republican Clinical Hospital

Shifman E.M.

Moscow Regional Research and Clinical Institute

SPIN RSCI: 4582-8494
Scopus AuthorID: 6507655298
ResearcherID: AAY-3981-2020
ORCID: 0000-0002-6113-8498

Medzhidov R.T.

Vishnevsky Republican Clinical Hospital

Gadzhimuradova S.M.

Vishnevsky Republican Clinical Hospital

Diagnosis of bladder defects in the postoperative period after cesarean section

Authors:

Medzhidova D.R., Shifman E.M., Medzhidov R.T., Gadzhimuradova S.M.

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Journal: Russian Bulletin of Obstetrician-Gynecologist. 2022;22(4): 81‑86

DOI: 10.17116/rosakush20222204181

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To cite this article:

Medzhidova DR, Shifman EM, Medzhidov RT, Gadzhimuradova SM. Diagnosis of bladder defects in the postoperative period after cesarean section. Russian Bulletin of Obstetrician-Gynecologist. 2022;22(4):81‑86. (In Russ.)
https://doi.org/10.17116/rosakush20222204181

Подписка 2025-2 (Russian Bulletin of Obstetrician-Gynecologist)

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THE PURPOSE OF THE STUDY

Detection of small bladder defects in the postoperative period after repeat caesarean section.

MATERIAL AND METHODS

The study enrolled 36 pregnant women with a uterine scar after two or more caesarean sections and who underwent elective abdominal delivery under spinal anesthesia. In the postoperative period, small bladder defects were diagnosed by spiral computed tomography and retrograde cystography on day 3—4 after caesarean section. The patient was laid on her stomach and a delayed scan was performed for 15 seconds on a 128-slice GE EVA Revolution computed tomography scanner 5—7 min later.

RESULTS

Spiral computer retrograde cystotomography with delayed scanning on the 3rd-4th days after cesarean section revealed small bladder defects (1—3 mm) in the postoperative sutures in 86.1% of cases. The position of the patients on the abdomen for 5—7 min and delayed scanning enabled the contrast agent to leak through the minimal defects (1—3 mm) in the postoperative sutures under the weight of the postpartum uterus.

CONCLUSION

The best method to diagnose small bladder defects after repeat caesarean section is to use spiral computed tomography in combination with retrograde cystography in delayed scanning.

Keywords:

caesarean section

bladder defect

postoperative period

computed tomography

retrograde cystography

delayed scanning

Authors:

Medzhidova D.R.

Vishnevsky Republican Clinical Hospital

Shifman E.M.

Moscow Regional Research and Clinical Institute

SPIN RSCI: 4582-8494
Scopus AuthorID: 6507655298
ResearcherID: AAY-3981-2020
ORCID: 0000-0002-6113-8498

Medzhidov R.T.

Vishnevsky Republican Clinical Hospital

Gadzhimuradova S.M.

Vishnevsky Republican Clinical Hospital

Received:

20.03.2022

Accepted:

08.04.2022

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