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4.4.1 Introduction

Injury to the urinary or gastrointestinal tract is rare in the course of cesarean section.  The most common is laceration of the bladder with an incidence of 2 in 1000 cesarean sections.  Less common are injuries to the colon with the least common being ureteric injury.  In all cases, a history of previous surgery, usually prior cesarean section, is the most significant risk factor. However, any condition that predisposes to adhesion formation may be a factor.

  • Bladder injury is most common 2/1000
  • Bowel 1/1000
  • Ureter 0.3/1000
  • Previous surgery is the most important risk factor
  • Other risk factors include abnormal placentation, obstructed labour, pelvic adhesions (due to previous surgery, pelvic inflammatory disease, endometriosis, etc.)
Updated on June 28, 2021

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