UROLOGICAL COMPLICATIONS OF PELVIC SURGERY

G.T. Basiashvili1,3, G.R. Khayrullina2, N.R. Akhmadeev2, I.G. Gataullin1, M.Yu. Ulyanin3

1Kazan State Medical Academy — Branch of the FSBEI FPE RMACPE MOH Russia, Kazan

2Kazan State Medical University, Kazan

3Tatarstan Сancer Center, Kazan

Basiashvily G.T. ― postgraduate student of Department of Oncology, Radiology and Palliative Medicine in KSMA ― Branch of FSBEI FPE RMACPE MOH Russia, doctor in Oncology Department №6 (urological) of Tatarstan Сancer Center

29 Sibirsky Tract, Kazan, Russian Federation, 420029, tel. +7-917-862-83-68, e-mail: giga_2@icloud.com

Abstract. Urological complications of pelvic surgery have become a significant problem with the rate of 5,0 to 27,0% without trend to reduce. This is due to extension of indications for surgical treatment of pelvic tumors and wide use of laparascopy and endourology. Main radical prostatectomy and hysterectomy complications are urinary incontinence, bladder and ureter injuries, fistulas, bladder atony and infection. Anatomy and topography of pelvis are the causes. Roentgen, ultrasound and urodynamics facilitate preoperative prevention but do not decrase risk of intraoperative complications. Development of effective methods of complications prevention in pelvic surgery remains an actual problem.

Key words: iatrogenic complications, bladder cancer, cervical cancer, rectal cancer, prostate cancer.