Skip to main content
SpringerLink
Log in

Transient large urinoma following hysterectomy

  • Case Report
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

This case report describes the formation of a very large urinoma 1 day after vaginal surgery. A 59-year-old woman was diagnosed with a urinoma measuring 30.5 cm in length, 23 cm in the transverse plane and 12 cm in the anteroposterior dimension on day 1 after a vaginal hysterectomy and prolapse repair surgery. The urinoma resolved completely after trans-abdominal catheter drainage. This case demonstrates that even a large urinoma can initially be managed conservatively. Furthermore, it emphasizes the importance of the early detection and management of urinary tract injuries after vaginal surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Gilmour DT, Das S, Flowerdew G (2006) Rates of urinary tract injury from gynecologic surgery and the role of intraoperative cystoscopy. Obstet Gynecol 107(6):1366–1372. doi:10.1097/01.AOG.0000220500.83528.6e

    Article  CAS  PubMed  Google Scholar 

  2. Frankman EA, Wang L, Bunker CH, Lowder JL (2010) Lower urinary tract injury in women in the United States, 1979–2006. Am J Obstet Gynecol 202(5):495.e1–495.e5. doi:10.1016/j.ajog.2010.01.013

    Google Scholar 

  3. Titton RL, Gervais DA, Hahn PF et al (2003) Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics 23(5):1133–1147

    Article  PubMed  Google Scholar 

  4. Gilmour DT, Dwyer PL, Carey MP (1999) Lower urinary tract injury during gynecologic surgery and its detection by intraoperative cystoscopy. Obstet Gynecol 94(5 Pt 2):883–889

    Article  CAS  PubMed  Google Scholar 

Download references

Financial disclaimer

Prof Ajay Rane serves as a consultant to American Medical Systems, Minnetonka, MN, USA.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Pelvic Health, Mater Misericordiae Hospital Townsville, P.O. Box 1417, Thuringowa Central, 4817, QLD, Australia

    Nadine Becuzzi & Ajay Rane

  2. Cairns Private Hospital, Cairns, Australia

    Samantha Scherman

Authors
  1. Nadine Becuzzi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Samantha Scherman
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ajay Rane
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nadine Becuzzi.

Additional information

Consent

Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Becuzzi, N., Scherman, S. & Rane, A. Transient large urinoma following hysterectomy. Int Urogynecol J 25, 1735–1737 (2014). https://doi.org/10.1007/s00192-014-2449-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-014-2449-z

Keywords

Search

Navigation