La. Admin. Code tit. 48 § I-2303

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-2303 - Female Genital System Treatments and Procedures

A. Abdominal Hysterectomy (Removal of Womb Resulting in Sterility)

1. uncontrollable leakage of urine;

2. injury to bladder;

3. death;

4. injury to the tube (ureter) between the kidney and the bladder;

5. injury to the bowel and/or intestinal obstruction;

6. infection;

7. damage to major blood vessels, hemorrhage, need for transfusion of blood products;

8. painful intercourse;

9. ovarian failure requiring hormone administration;

10. pulmonary embolism (blood clot from pelvis or legs that moves to lungs);

11. formation of fistula (leakage of urine or bowel contents through vagina);

12. unsatisfactory sexual function;

13. bleeding;

14. failure of wound to heal;

15. permanent and disfiguring scarring.

B. Vaginal Hysterectomy (removal of womb resulting in sterility)

1. uncontrollable leakage of urine;

2. injury to bladder;

3. death;

4. injury to the tube (ureter) between the kidney and the bladder;

5. injury to the bowel and/or intestinal obstruction;

6. infection;

7. damage to major blood vessels, hemorrhage, need for transfusion of blood products;

8. painful intercourse;

9. ovarian failure requiring hormone administration;

10. pulmonary embolism (blood clot from pelvis or legs that moves to lungs);

11. formation of fistula (leakage of urine or bowel contents through vagina);

12. unsatisfactory sexual function;

13. bleeding;

14. failure of wound to heal;

15. permanent and disfiguring scarring;

16. completion of operation resulting in abdominal incision.

C. All Fallopian Tube and Ovarian Surgery with or without Hysterectomy, including Removal and Lysis of Adhesions

1. injury to the bowel and/or bladder;

2. sterility;

3. failure to obtain fertility (if applicable);

4. failure to obtain sterility (if applicable);

5. loss of ovarian functions or hormone production from ovary(ies);

6. injury to ureter;

7. injury to major blood vessels, hemorrhage, need for transfusion of blood products;

8. failure to remove entire ovary possibly requiring further surgery (ovarian remnant syndrome);

9. pulmonary embolism.

D. Abdominal Endoscopy (Peritoneoscopy, Laparoscopy)

1. puncture of the bowel or blood vessel;

2. abdominal infection and complications of infection;

3. abdominal incision and operation to correct injury;

4. injury to bladder;

5. injury to ureter;

6. possible air embolus.

E. Removing Fibroids (Uterine Myomectomy)

1. uncontrolled leakage of urine;

2. injury to bladder;

3. sterility;

4. injury to the tube (ureter) between the kidney and the bladder;

5. injury to the bowel and/or intestinal obstruction;

6. pulmonary embolism.

F. Uterine Suspension

1. uncontrollable leakage of urine;

2. injury to bladder;

3. sterility;

4. injury to the tube (ureter) between the kidney and the bladder;

5. injury to the bowel and/or intestinal obstruction;

6. painful intercourse;

7. pulmonary embolism.

G. Removal of the Nerves to the Uterus (Presacral Neurectomy)

1. uncontrollable leakage of urine;

2. injury to bladder;

3. sterility;

4. injury to the tube (ureter) between the kidney and the bladder;

5. injury to the bowel and/or intestinal obstruction;

6. hemorrhage, complications of hemorrhage with additional operation.

H. Removal of the Cervix

1. uncontrolled leakage of urine;

2. injury to bladder;

3. sterility;

4. injury to the tube (ureter) between the kidney and the bladder;

5. injury to the bowel and/or intestinal obstruction;

6. completion of operation by abdominal incision;

7. pulmonary embolism.

I. Repair of Vaginal Hernia (Anterior and/or Posterior Colporrhaphy and/or Enterocele Repair)

1. uncontrolled leakage of urine;

2. injury to bladder;

3. sterility;

4. injury to the tube (ureter) between the kidney and the bladder;

5. injury to the bowel and/or intestinal obstruction;

6. risk of hemorrhage;

7. risk of infection;

8. painful intercourse;

9. risk of formation of fistula between the urinary tract and vagina or intestinal tract and the vagina;

10. difficulty urinating;

11. pulmonary embolism;

J. Abdominal Suspension of the Bladder (Retropubic Urethropexy)

1. uncontrolled leakage of urine;

2. injury to the bladder;

3. injury to the tube (ureter) between the kidney and the bladder;

4. injury to the bowel and/or intestinal obstruction;

5. painful inflammation or destruction of pubic bone (osteitis pubis);

6. risk of infection;

7. risk of damage to urethra;

8. risk of difficulty urinating;

9. Pulmonary embolism;

K. Conization of Cervix

1. hemorrhage with possible hysterectomy to control;

2. sterility;

3. injury to bladder;

4. injury to rectum;

5. failure of procedure to remove all of cervical abnormality;

6. scar tissue formation of mouth of womb (cervical stenosis);

7. weakening of mouth of womb resulting in miscarriage with future pregnancies (incompetent cervix);

8. pulmonary embolism.

L. Dilation and Curettage of Uterus (Diagnostic)

1. hemorrhage with possible hysterectomy;

2. perforation of the uterus;

3. sterility;

4. injury to bowel and/or bladder;

5. abdominal incision and operation to correct injury;

6. formation of scar tissue in uterine cavity (Ashermann Syndrome).

M. Dilation and Curettage of Uterus (Obstetrical)

1. hemorrhage with possible hysterectomy;

2. perforation of the uterus;

3. sterility;

4. injury to bowel and/or bladder;

5. abdominal incision and operation to correct injury;

6. formation of scar tissue in uterine cavity (Ashermann Syndrome);

7. failure to remove all products of conception.

La. Admin. Code tit. 48, § I-2303

Promulgated by the Department of Health and Hospitals, Louisiana Medical Disclosure Panel, LR 18:1391 (December 1992), repromulgated LR 19:1581 (December 1993).

AUTHORITY NOTE: Promulgated in accordance with R.S. 40:1299.40 E et seq.