TY  - BOOK
AU  - Bousy El Shazli Ali Hassan,  
AU  - Khaled Abd El Malek Abd El Maqsud
AU  - Reham Fouad Khalil
AU  - Mariam Ahmed Mohamed
TI  - Assessment of lower urinary tract dysfunction following caesarean hysterectomy due to placenta previa and placenta accreta spectrum
U1  - 618.34 
PY  - 2023///
KW  - Placental diseases
KW  - qrmak
KW  - Placenta previa
KW  - placenta accreta spectrum
KW  - caesarean hysterectomy
KW  - lower urinary tract dysfunction
N1  - Thesis (M.Sc.)-Cairo University, 2023; Bibliography: pages 57-76; Issues also as CD
N2  - Background: Caesarean hysterectomy is one of the identified risk factors 
for bladder injuries at emergency delivery. 
Objective: To assess the lower urinary tract dysfunction after 3 months of 
caesarean hysterectomy in cases of placenta previa and placenta accreta 
spectrum (PAS) by history and urodynamic studies. 
Patients and Methods: 50 women who were admitted to department of 
Gynecology and Obstetrics, Kasr Al-Ainy University Hospital, Cairo 
University were included and divided into 2 groups: 
Group (1) (CS-Hysterectomy group): 25 women who had caesarean 
hysterectomy for placenta previa and PAS. 
Group (2) (CS group): 25 women who had delivered by lower segment 
caesarean section (LSCS). 
Assessment was done after 3 months of delivery. All patients underwent 
blood glucose test, urine analysis by midstream specimen, history taking 
including detailed history for lower urinary tract symptoms and the 
degree of bother results from each symptom, full general examination, 
local gynecological examination, cough test for detection of stress 
incontinence, and the urodynamic studies. 
Results: In CS group, 2 (8.0%) women had stress urinary incontinence 
(SUI) and 5 (20.0%) had urge urinary incontinence (UUI). While in CS-
Hysterectomy group, 7 (28.0%) women had SUI and 4 (16.0%) had UUI. 
However, no significant difference was reported between both studied 
groups regarding incidences of urological symptoms or severity of 
urinary incontinence. No significant difference was reported between 
both studied groups regarding maximum flow rate, flow time, time to 


both studied groups regarding incidence of detrusor over-activity, results of 
first sensation to void, second urge sensation, or maximum cystometric 
capacity. 
Conclusion: Caesarean hysterectomy for patients with placenta 
previa and placenta accreta spectrum didn’t significantly increase the 
lower urinary tract dysfunction 3 months postoperative when 
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.
ER  -