The urological complications of vaginal birth after cesarean (VBAC) - a literature review

Valentin Nicolae Varlas; Yassin Rhazi; Roxana Georgiana Bors; Ovidiu Penes; Daniel Radavoi

doi:10.25122/jml-2021-0219

The urological complications of vaginal birth after cesarean (VBAC) - a literature review

J Med Life. 2021 Jul-Aug;14(4):443-447. doi: 10.25122/jml-2021-0219.

Authors

Valentin Nicolae Varlas^{1

2}, Yassin Rhazi¹, Roxana Georgiana Bors¹, Ovidiu Penes³, Daniel Radavoi⁴

Affiliations

¹ Department of Obstetrics and Gynaecology, Filantropia Clinical Hospital, Bucharest, Romania.
² Department of Obstetrics and Gynaecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
³ Department of Anesthesiology and Intensive Care, Bucharest Emergency University Hospital, Bucharest, Romania.
⁴ Department of Urology, Prof. Dr. Theodor Burghele Clinical Hospital, Bucharest, Romania.

Abstract

The appearance of urological complications is a major problem in obstetrics and gynecologic surgery; the bladder is the most common damaged organ. Due to a continuous increase in the rate of cesareans, the incidence of urologic complications will be potentially higher. We reviewed the most important risk factors for urinary tract injury and analyzed the strategies necessary to avoid these situations during vaginal birth after cesarean (VBAC). The risks and benefits of VBAC should be balanced before deciding the mode of delivery.

Keywords: VBAC; bladder rupture; ureteral lesion; urological complications; uterine rupture.

Publication types

Review

MeSH terms

Female
Humans
Incidence
Pregnancy
Retrospective Studies
Risk Factors
Uterine Rupture*
Vaginal Birth after Cesarean* / adverse effects