Bousy El Shazli Ali Hassan,   <br/><br/>
Assessment of lower urinary tract dysfunction following caesarean hysterectomy due to placenta previa and placenta accreta spectrum / 
 / تقييم الخلل الوظيفي السفلي للمسالك البوليه عقب استئصال الرحم القيصري الناتج عن المشيمه المتقدمه والمشيمه الملتصقه  
by Bousy El Shazli Ali Hassan ; Supervised by Prof. Dr. Khaled Abd El Malek Abd El Maqsud, Dr. Reham Fouad Khalil, Dr. Mariam Ahmed Mohamed.  
 - 76 pages :   illustrations ;  25 cm. +   CD. 
<br/><br/>Thesis (M.Sc.)-Cairo University, 2023. 
<br/><br/>Bibliography: pages 57-76. 
<br/><br/> Background: Caesarean hysterectomy is one of the identified risk factors <br/>for bladder injuries at emergency delivery. <br/>Objective: To assess the lower urinary tract dysfunction after 3 months of <br/>caesarean hysterectomy in cases of placenta previa and placenta accreta <br/>spectrum (PAS) by history and urodynamic studies. <br/>Patients and Methods: 50 women who were admitted to department of <br/>Gynecology and Obstetrics, Kasr Al-Ainy University Hospital, Cairo <br/>University were included and divided into 2 groups: <br/>Group (1) (CS-Hysterectomy group): 25 women who had caesarean <br/>hysterectomy for placenta previa and PAS. <br/>Group (2) (CS group): 25 women who had delivered by lower segment <br/>caesarean section (LSCS). <br/>Assessment was done after 3 months of delivery. All patients underwent <br/>blood glucose test, urine analysis by midstream specimen, history taking <br/>including detailed history for lower urinary tract symptoms and the <br/>degree of bother results from each symptom, full general examination, <br/>local gynecological examination, cough test for detection of stress <br/>incontinence, and the urodynamic studies. <br/>Results: In CS group, 2 (8.0%) women had stress urinary incontinence <br/>(SUI) and 5 (20.0%) had urge urinary incontinence (UUI). While in CS-<br/>Hysterectomy group, 7 (28.0%) women had SUI and 4 (16.0%) had UUI. <br/>However, no significant difference was reported between both studied <br/>groups regarding incidences of urological symptoms or severity of <br/>urinary incontinence. No significant difference was reported between <br/>both studied groups regarding maximum flow rate, flow time, time to <br/><br/><br/>both studied groups regarding incidence of detrusor over-activity, results of <br/>first sensation to void, second urge sensation, or maximum cystometric <br/>capacity. <br/>Conclusion: Caesarean hysterectomy for patients with placenta <br/>previa and placenta accreta spectrum didn’t significantly increase the <br/>lower urinary tract dysfunction 3 months postoperative when <br/>compared with lower segment caesarean sectio   يعد إستئصال الرحم القيصري من أهم الإجراءات المتخذة لإنقاذ الحياة في حالات النزيف الرحمي بعد الولادة بسبب المشيمة المتقدمة والمشيمة الملتصقة في حال فشل العلاج التحفظي. تهدف هذه الدراسة الي تقييم الخلل الوظيفي السفلي للمسالك البولية بعد مرور ثلاثة اشهر من إستصال الرحم القيصري في حالات المشيمة المتقدمة والمشيمة الملتصقة عن طريق التاريخ المرضي ودراسة ديناميكية التبول. إشتملت الدراسة علي مجموعتين وهما مجموعه إستصال الرحم القيصري ومجموعة القيصرية السفليه وكل مجموعة منهما تضمنت 25 سيدة. وأستنتجنا من الدراسة أن إستئصال الرحم القيصري في حالات المشيمة المتقدمة والمشيمة الملتصقة لا يزيد بشكل كبير من الخلل الوظيفي السفلي للمسالك البوليه بعد 3 أشهر من الجراحة مقارنة بالعملية القيصرية السفلية.  
<br/><br/>
<br/><br/><br/>Text in English and abstract in Arabic & English. 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Placental diseases
<br/><br/><label>Subjects--Index Terms: </label>Placenta previa  placenta accreta spectrum  caesarean hysterectomy  lower urinary tract dysfunction 
<br/><br/><label>Dewey Class. No.: </label>618.34