OBJECTIVES: To determine the impact of routine preoperative cystourethroscopy on the surgical management of urinary incontinence and pelvic organ prolapse.
METHODS: Retrospective review of consecutive women undergoing surgery for urinary incontinence and/or pelvic organ prolapse at a tertiary referral urogynecology center to determine whether the routine use of preoperative cystourethroscopy changed the surgical management. Patients with other indications for cystourethroscopy were excluded.
RESULTS: A total of 283 consecutive charts were reviewed of which 235 met inclusion criteria. Five patients accounted for 6 abnormal findings on preoperative cystourethroscopic examination including 2 bladder calculi, 2 lesions suspicious for neoplasm, and 2 cases of absent unilateral ureteric efflux. In only one case (0.5%) was the surgical plan altered.
CONCLUSION: The routine use of preoperative cystourethroscopy in low-risk patients being prepared for surgery for urinary incontinence and pelvic prolapse is not required when no other indications for cystourethroscopy exist.
Written by:
Gill EJ, Tozer BL, Carroll A, Tran A. Are you the author?
Department of Obstetrics and Gynecology, VCU Medical Center, Richmond, VA, USA.
Reference: Female Pelvic Med Reconstr Surg. 2012 Nov-Dec;18(6):348-51.
doi: 10.1097/SPV.0b013e318274d5e3
PubMed Abstract
PMID: 23143429
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