UROLOGIC COMPLICATIONS IN THE MANAGEMENT OF ABNORMAL PLACENTAL INVASION; 5-YEARS OF EXPERIENCE OF A SINGLE TERTIARY CENTER

Objective: To evaluate the urologic complications in the management of abnormal placental invasion in a tertiary care institution. Materials and methods: This is a retrospective review of all patients with abnormal placental invasion delivered from March 2010 to October 2015 in Istanbul University School of Medicine, Department of Obstetrics and Gynecology. The patients with urologic injury were identified and evaluated according to details of operation. Results: 72 patients were included in the analysis. The depth of abnormal placental invasion varied in the cohort, with 31.9%, 19.4% and 48.6% being classified as placenta acreata, placenta increata and placenta percreata, respectively. Bladder injury was encountered in 30.5% of patients and ureteral injury was seen in 2.8%. Degree of placental invasion was associated with a higher likelihood of urologic injury. Conclusion: Urologic injuries are the most common intraoperative complications in cases of abnormal placental invasion. Surgeons involved in the management of these cases should be familiar with those risks and make a careful observation intraoperatively.