The value of cystoscopy and bladder biopsy taken at the time of tension-free vaginal tape insertion

Summary The primary aim of this study was to determine if a cystoscopy performed at the time of a tension-free vaginal tape (TVT) insertion is useful in finding unexpected pathology. A secondary outcome measure was to assess whether a bladder biopsy and cystoscopy performed during the TVT operation...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology 2007-04, Vol.27 (3), p.297-299
Main Authors: Duckett, J., Aggarwal, I., Basu, M., Vella, M., Patil, A.
Format: Article
Language:English
Subjects:
Biopsy
bladder biopsy
continence surgery
Cystoscopy
Diagnostic tests
Female
Gynecology
Humans
Middle Aged
Predictive Value of Tests
Suburethral Slings
Surgery
Urinary Bladder, Overactive - diagnosis
Urinary Bladder, Overactive - pathology
Urinary incontinence
Urinary Incontinence, Stress - pathology
Urinary Incontinence, Stress - surgery
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Summary:Summary The primary aim of this study was to determine if a cystoscopy performed at the time of a tension-free vaginal tape (TVT) insertion is useful in finding unexpected pathology. A secondary outcome measure was to assess whether a bladder biopsy and cystoscopy performed during the TVT operation provide useful information about the outcome of surgery. The findings in 100 consecutive women were reviewed. A total of 42 women demonstrated mixed detrusor overactivity (DO) and urodynamic stress incontinence (USI); 32 women had abnormal biopsies. Women with DO were no more likely to have abnormal bladder biopsies than women without DO (p > 0.05). An abnormal bladder biopsy or cystoscopy failed to predict postoperative irritable symptoms (p > 0.05). The presence of preoperative DO correctly predicted postoperative irritable symptoms (p < 0.01). Cystoscopic abnormalities were noted in 14 women including one carcinoma, and one case of dysplasia was discovered on biopsy. In five women, the cystoscopy showed a bladder perforation. Cystoscopy should be performed in all women undergoing continence procedures.
ISSN:0144-3615
1364-6893
DOI:10.1080/01443610701227935