{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:41Z","timestamp":1786728641969,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Context and Aims:<\/jats:title>\n                    <jats:p>Despite its rarity, iatrogenic urinary tract injury can cause severe morbidity and mortality. The purpose of this study was to determine the frequency of urinary tract injuries caused by medical treatment in a hospital in Medan, Indonesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This retrospective descriptive study was conducted at H. Adam Malik General Hospital and Universitas Sumatera Utara Hospital in Medan from March to August 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>Medical data of individuals who had iatrogenic urinary tract injuries in a Medan teaching hospital from 2018 to 2022 were obtained using total sampling. SPSS version 25 was utilized to analyze patient characteristics, the type of surgery, urinary tract injuries, and urologic procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 11 ureteral injuries and 23 bladder injuries in 32 iatrogenic urinary tract injuries. The average age of the patients was 40.5 \u00b1 13.3. Patients who received obstetrical care had the highest rate of iatrogenic urinary tract injury (56.3%), followed by patients who received gynecological care (21.9%) and surgical care (21.9%). The procedure most likely to cause iatrogenic urinary tract injury was hysterectomy (40.6%). Bladder rupture (65.5%) and ureteral transection (28.1%) were common types of iatrogenic bladder and ureteral injuries. Majority of iatrogenic urinary tract injuries were treated with bladder repair (68.8%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Obstetrical and gynecologic procedures, especially hysterectomy, were the most common causes of iatrogenic urinary tract injury; bladder repair was the most common treatment. Iatrogenic urinary tract injury is best managed by knowing the anatomical position of the urinary tract inside the operative field.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ua.ua_68_23","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T03:00:08Z","timestamp":1717988408000},"page":"197-202","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Characteristics and management of iatrogenic urinary tract injuries in teaching hospital: A single-centered study"],"prefix":"10.4103","volume":"16","author":[{"given":"Syah Mirsya","family":"Warli","sequence":"first","affiliation":[{"name":"Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik Hospital, Medan, Indonesia"},{"name":"Department of Urology, Universitas Sumatera Utara, Universitas Sumatera Utara Hospital, Medan, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Ramon","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Universitas Indonesia-Adam Malik Hospital, Medan, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramlan","family":"Nasution","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik Hospital, Medan, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhirajaya Dharma","family":"Kadar","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik Hospital, Medan, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kharisma Prasetya","family":"Adhyatma","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik Hospital, Medan, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohd. 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