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

• Published in: Female pelvic medicine & reconstructive surgery Vol. 24; no. 4; p. 258
• Main Authors: Cohen, Seth A, Carberry, Cassandra L, Smilen, Scott W
• Format: Journal Article
• Language: English
• 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
• ISSN: 2154-4212
• DOI: 10.1097/SPV.0000000000000529

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.