Objective: To determine the risk of bladder injury during vaginal hysterectomy in women with a previous cesarean section.
Study Design: Analysis of selected studies found through a MEDLINE search from 1980 to 2003.
Results: Four comparative studies (women with or without a previous cesarean section) were selected and analyzed. Risk of bladder injury was significantly increased in only 1 study. Analysis of cumulative data did not find a significant difference (8 of 430 [1.86%] vs. 11 of 1,227 [0.89%], p = 0.12).
Conclusion: The risk of bladder injury during vaginal hysterectomy does not seem to be increased in women with a previous cesarean section.
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