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August 24, 1957

Urologic Injuries in Gynecology Including Vesicovaginal Fistula, Stress Incontinence and Ureteral Injuries

JAMA. 1957;164(17):1991. doi:10.1001/jama.1957.02980170131025

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There was a time when childbirth was the principal cause of urinary tract damage with resulting fistulas. A clearer understanding of the physiology and pathology of labor has served to provide more intelligent management of the parturient woman and a marked lessening of the injuries to the urogenital tract. The small residue of injuries now remaining in this category are the product of poorly managed or badly neglected cases. Progress in gynecologic surgery, however, has exacted its price in an increase in injuries to the urinary tract. This book does not deal with urinary tract injuries associated with the radical and supraradical surgical treatment of pelvic malignancy. It presents an excellent, practical, and detailed discussion of the principles and surgical management of urinary tract injuries associated with obstetric damage and the surgery of benign pelvic lesions. Each condition is thoroughly analyzed as to cause and principles to be observed. Excellent

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