American Urogynecologic Society Consensus Statement: Cystoscopy at the Time of Prolapse Repair

Injury to the urinary tract is a known risk of surgical repair of anterior and apical pelvic organ prolapse. Cystoscopy at the time of surgical prolapse repair is a low-risk procedure that can identify genitourinary tract injury by inspecting the bladder and urethra as well as by visualizing the ure...

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Bibliographic Details
Published inFemale pelvic medicine & reconstructive surgery Vol. 24; no. 4; p. 258
Main Authors Cohen, Seth A, Carberry, Cassandra L, Smilen, Scott W
Format Journal Article
LanguageEnglish
Published United States 01.07.2018
Subjects
Cystoscopy - standards
Female
Humans
Intraoperative Complications - prevention & control
Pelvic Organ Prolapse - surgery
Reconstructive Surgical Procedures - adverse effects
Reconstructive Surgical Procedures - methods
Societies, Medical
United States
Urinary Tract - injuries
United States
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Summary:Injury to the urinary tract is a known risk of surgical repair of anterior and apical pelvic organ prolapse. Cystoscopy at the time of surgical prolapse repair is a low-risk procedure that can identify genitourinary tract injury by inspecting the bladder and urethra as well as by visualizing the ureters and ureteral efflux. There are several techniques to assist with visualization of ureteral efflux. Identifying injury intraoperatively may allow for mitigation of the morbidity of the injury. Universal cystoscopy should be performed at the time of all pelvic reconstructive surgeries, with the exception of operations solely for posterior compartment defects.
ISSN:2154-4212
DOI:10.1097/SPV.0000000000000529