{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T07:20:53Z","timestamp":1789802453127,"version":"4.0.1"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examines the incidence, obstetric risk factors, surgical management, and long\u2010term outcomes of obstetric\u2010associated urethral injuries during vaginal deliveries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case series was conducted at a single, tertiary university\u2010affiliated medical center between January 2018 and December 2023. Demographic, obstetric, and surgical data were retrieved from the hospital's electronic records. Validated symptom questionnaires (BFLUTS, USIQ, and MESA) were administered prospectively at \u226518\u2009months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 59\u2009553 vaginal deliveries, five urethral injuries were identified, equivalent to 0.83 per 10\u2009000 vaginal deliveries. Injuries comprised urethral tear or complete detachment of the urethra. One injury followed vacuum\u2010assisted delivey, one occurred during precipitated labor, and three during uncomplicated spontaneous vaginal deliveries. Two patients also exhibited significant symphyseal diastasis. Four cases were diagnosed immediately after delivery, and one other case was diagnosed several hours after delivery due to anuria. All cases were managed in the operating room by a senior urologist. At a mean follow\u2010up of 42\u2009months (range 18\u201383), questionnaire scores were low (BFLUTS 2.0 [1.0\u201316.5], USIQ 0 [0\u201337.5], MESA stress ratio 14.1 [2.35\u201394.1]). No patients reported other long\u2013term sequelae associated with urethral trauma, such as urethral stricture or urethrovaginal fistula. At follow\u2010up, two patients had given birth again; both underwent uncomplicated vaginal deliveries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Urethral injury during vaginal delivery is rare. Early diagnosis and immediate surgical repair were associated with favorable long\u2010term lower urinary tract symptoms. Concomitant symphyseal diastasis in two patients may suggest clinical association. Further studies are needed to establish management guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70941","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T11:57:32Z","timestamp":1774612652000},"page":"1559-1566","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Urethral injury during vaginal delivery: Incidence, management and long\u2010term outcomes"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9896-9132","authenticated-orcid":false,"given":"Yoav","family":"Baruch","sequence":"first","affiliation":[{"name":"Lis Maternity and Women's Hospital, Tel Aviv Sourasky Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronen","family":"Gold","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital, Tel Aviv Sourasky Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yariv","family":"Stabholz","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital, Tel Aviv Sourasky Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lavie","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital, Tel Aviv Sourasky Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yariv","family":"Yogev","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital, Tel Aviv Sourasky Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asnat","family":"Groutz","sequence":"additional","affiliation":[{"name":"Lis Maternity and Women's Hospital, Tel Aviv Sourasky Medical Center, Gray Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crwh.2020.e00218"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.18203\/2320-1770.ijrcog20222469"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.04.007"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-024-07826-2"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02551335"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0000000000000438"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.01071.2004"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22561"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.117262"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S405636"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13989"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2023.08.011"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.33900"},{"issue":"11","key":"e_1_2_12_15_1","first-page":"874","article-title":"Combined bladder, urethral and uterine rupture after a normal, spontaneous vaginal delivery at home: a case report","volume":"50","author":"Zetero\u011flu S","year":"2005","journal-title":"J Reprod Med"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.102719"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.47363\/JGRRR\/2019(1)101"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1996.00186.x"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0770-0"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000017719"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70941","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70941","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:34:24Z","timestamp":1789799664000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,27]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/ijgo.70941"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70941","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,27]]},"assertion":[{"value":"2025-10-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}