At a glance
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Urinary Symptoms and the Omission of the Bladder Flap at the Time of Primary Cesarean Delivery
In Brief
A clinical study evaluating Bladder flap for Pelvic Floor Disorders. Completed, enrolled 70 participants.
Detailed Summary
The bladder flap at the time of cesarean delivery is the term used to describe the separation of the bladder from the lower uterine segment by sharply incising the vesico-uterine peritoneum or serosa and using blunt and/or sharp dissection to develop this potential space which facilitates placement of a retractor, known as the bladder blade. Creating a bladder flap at the time of cesarean delivery is largely based on individual practice patterns and practitioners are divided in their use of this step. While creating a bladder flap has a theoretical advantage of protecting the bladder from injury, it is unknown whether this step has an effect on postoperative bladder function. The purpose of this study was to evaluate whether the omission or creation of a bladder flap results in a change in urinary symptoms as measured by the UDI-6 component of the PFDI-20.
Study Details
Timeline
Interventions
bladder is separated from the lower uterine segment prior to making the uterine incision at time of cesarean delivery