Intraoperative and postoperative morbidity associated with cystoscopy performed in patients undergoing gynecologic surgery

OBJECTIVE: The purpose of this study was to evaluate the role of cystoscopy during major gynecologic surgery and to describe an interesting and rare complication that was encountered. STUDY DESIGN: This was an observational descriptive study. A retrospective review was performed. Data collected incl...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2003-08, Vol.189 (2), p.354-357
Main Authors: Ferro, Alex, Byck, David, Gallup, Donald
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Burns - etiology
Cystoscopy
Cystoscopy - adverse effects
Female
Gynecologic Surgical Procedures - adverse effects
Humans
Intraoperative Complications
lower urinary tract injury
major gynecologic surgery
Middle Aged
Mucous Membrane - injuries
Postoperative Complications
Urinary Bladder - injuries
Urinary Tract - injuries
Urinary Tract Infections - etiology
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Summary:OBJECTIVE: The purpose of this study was to evaluate the role of cystoscopy during major gynecologic surgery and to describe an interesting and rare complication that was encountered. STUDY DESIGN: This was an observational descriptive study. A retrospective review was performed. Data collected included intraoperative lower urinary tract injuries, injuries that were related directly to cystoscopy, and postoperative morbidity. RESULTS: One hundred one cases were evaluated. Eight lower urinary tract injuries were noted, 4 of which were detected at cystoscopy and 3 of which (2.97%) were detected intraoperatively before cystoscopy. There was one complication that was linked directly to cystoscopy. There were nine postoperative urinary tract infections. Total cost per case excluding anesthesia time was $54.42. CONCLUSION: Liberal use of cystoscopy in gynecologic surgery is recommended. The procedure is safe, easily learned, and inexpensive to perform.
ISSN:0002-9378
1097-6868
DOI:10.1067/S0002-9378(03)00677-X