Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 7 - TEXAS MEDICAL DISCLOSURE PANEL
Chapter 602 - PROCEDURE REQUIRING FULL DISCLOSURE OF SPECIFIC RISKS AND HAZARDS-LIST A
Section 602.7 - Female Genital System Treatments and Procedures
Universal Citation: 25 TX Admin Code ยง 602.7
Current through Reg. 49, No. 38; September 20, 2024
(a) Hysterectomy (abdominal and vaginal).
(1) Uncontrollable leakage of
urine.
(2) Injury to
bladder.
(3) Injury to the tube
(ureter) between the kidney and the bladder.
(4) Injury to the bowel and/or intestinal
obstruction.
(5) Need to covert to
abdominal incision.
(6) If
laparoscopic surgery is utilized, include the following risks:
(A) Damage during introduction of trocar to
adjacent intra-abdominal structures and organs (e.g., bowel, bladder, blood
vessels, or nerves) and potential need for additional surgery.
(B) Trocar site complications (e.g.,
hematoma, bleeding, leakage of fluid, or hernia formation).
(C) Air embolus (bubble causing heart failure
or stroke).
(D) Change during the
procedure to an open procedure.
(E)
If cancer is present, may increase the risk of the spread of cancer.
(b) 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) If performed with hysterectomy, all
associated risks under subsection (a) of this section.
(7) For fallopian tube occlusion (for
sterilization with or without hysterectomy), see subsection (n) of this
section.
(c) Removing fibroids (uterine myomectomy).
(1) Injury to
bladder.
(2) Sterility.
(3) Injury to the tube (ureter) between the
kidney and the bladder.
(4) Injury
to the bowel and/or intestinal obstruction.
(5) May need to convert to
hysterectomy.
(6) If laparoscopic
surgery is utilized, include the following risks:
(A) Damage during introduction of trocar to
adjacent intra-abdominal structures and organs (e.g., bowel, bladder, blood
vessels, or nerves) and potential need for additional surgery.
(B) Trocar site complications (e.g.,
hematoma, bleeding, leakage of fluid, or hernia formation).
(C) Air embolus (bubble causing heart failure
or stroke).
(D) Change during the
procedure to an open procedure.
(E)
If cancer is present, may increase the risk of the spread of cancer.
(d) Uterine suspension.
(1) Uncontrollable leakage of
urine.
(2) Injury to
bladder.
(3) Injury to the tube
(ureter) between the kidney and the bladder.
(4) Injury to the bowel and/or intestinal
obstruction.
(e) Removal of the nerves to the uterus (presacral neurectomy).
(1) Uncontrollable leakage of
urine.
(2) Injury to
bladder.
(3) Injury to the tube
(ureter) between the kidney and the bladder.
(4) Injury to the bowel and/or intestinal
obstruction.
(5) Hemorrhage (severe
bleeding).
(f) Removal of the cervix.
(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) Need to convert to abdominal
incision.
(g) Repair of vaginal hernia (anterior and/or posterior colporrhaphy and/or enterocele repair).
(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) Mesh erosion (with damage to vagina and
adjacent tissue).
(h) Abdominal suspension of the bladder (retropubic urethropexy).
(1) Uncontrollable leakage of
urine.
(2) Injury to
bladder.
(3) Injury to the tube
(ureter) between the kidney and the bladder.
(4) Injury to the bowel and/or intestinal
obstruction.
(i) Conization of cervix.
(1) Hemorrhage (severe
bleeding) which may result in hysterectomy.
(2) Sterility.
(3) Injury to bladder.
(4) Injury to rectum.
(j) Dilation and curettage of uterus (diagnostic/therapeutic).
(1) Possible
hysterectomy.
(2) Perforation
(hole) created in the uterus.
(3)
Sterility.
(4) Injury to bowel
and/or bladder.
(5) Abdominal
incision and operation to correct injury.
(k) Surgical abortion/dilation and curettage/dilation and evacuation.
(1)
Possible hysterectomy.
(2)
Perforation (hole) created in the uterus.
(3) Sterility.
(4) Injury to the bowel and/or
bladder.
(5) Abdominal incision and
operation to correct injury.
(6)
Failure to remove all products of conception.
(l) Medical abortion/non-surgical.
(1) Hemorrhage with possible need for
surgical intervention.
(2) Failure
to remove all products of conception.
(3) Sterility.
(m) Selective salpingography and tubal reconstruction.
(1) Perforation (hole) created
in the uterus or Fallopian tube.
(2) Future ectopic pregnancy (pregnancy
outside of the uterus).
(3) Pelvic
infection.
(n) Fallopian tube occlusion (for sterilization with or without hysterectomy).
(1) Perforation (hole) created in the uterus
or Fallopian tube.
(2) Future
ectopic pregnancy (pregnancy outside of the uterus).
(3) Pelvic infection.
(4) Failure to obtain sterility.
(o) Hysteroscopy.
(1) Perforation (hole) created in the
uterus.
(2) Fluid
overload/electrolyte imbalance.
(3)
Possible hysterectomy.
(4)
Abdominal incision to correct injury.
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