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.
Highlights
Studies have shown that vaginal birth after low transverse cesarean section is considered safe and effective [1]
The regulatory organizations are trying to compensate by promoting vaginal birth after cesarean section (VBAC), which is in its infancy in less developed countries
We aimed to present the proper strategies for a successful VBAC and how to avoid potential urological complications
Summary
Studies have shown that vaginal birth after low transverse cesarean section is considered safe and effective [1]. Studies have shown a continuous increase in births by cesarean section; Romania is currently in first place in Europe with a rate of 46.9% [8]. The regulatory organizations are trying to compensate by promoting vaginal birth after cesarean section (VBAC), which is in its infancy in less developed countries. Achieving this goal is hampered by several restrictions on the reluctance of both physicians and patients regarding VBAC [9]. VBAC was considered by many patients a good method to avoid repeated cesarean deliveries [10]. Statistics prove the opposite by the fact that only about 12% would try VBAC [11]
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