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Female Pelvic Med Reconstr Surg. 2012 Nov-Dec;18(6):348-51. doi: 10.1097/SPV.0b013e318274d5e3.

Routine use of preoperative cystourethroscopy on the surgical management of urinary incontinence and pelvic organ prolapse.

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  • 1Department of Obstetrics and Gynecology, VCU Medical Center, Richmond, VA, USA. egill@mcvh-vcu.edu

Abstract

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.

[PubMed - indexed for MEDLINE]
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