Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 1 - General
Chapter 23 - Informed Consent
Section I-2303 - Female Genital System Treatments and Procedures

Universal Citation: LA Admin Code I-2303

Current through Register Vol. 50, No. 12, December 20, 2024

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.

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

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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