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Multicenter Study
. 2021 Jul-Sep;25(3):e2021.00060.
doi: 10.4293/JSLS.2021.00060.

Evaluation of the Morbidity of Routine Cystoscopy Performed Intraoperatively During Total Laparoscopic Hysterectomies

Mélissa Roy  1 , Anne-Sophie Roy  1 , Ian Brochu  2 , Émilie Gorak-Savard  1 , Émilie Hudon  1 , Catherine Tremblay  2 , Chantal Rivard  1
Affiliations
Multicenter Study

Evaluation of the Morbidity of Routine Cystoscopy Performed Intraoperatively During Total Laparoscopic Hysterectomies

Mélissa Roy et al. JSLS. 2021 Jul-Sep.

Abstract

Study objectives: The primary objective is to determine the rate of morbid events (urinary tract infection, hematuria, urinary retention, false positive, incidental finding) associated with routine cystoscopies performed intraoperatively during total laparoscopic hysterectomies (TLH). The secondary objectives are 1) to determine the rate of urinary complications during TLHs in our centers and 2) to determine the detection rate of urinary complications using cystoscopy during TLHs.

Method: Descriptive retrospective multicenter study. The study took place in Obstetrics & Gynecology departments of 2 university centers in Montreal. Patients underwent a routine cystoscopy during their TLH for a benign reason in our centers. Five hundred thirty-one charts from January 1, 2012 to January 31, 2018 were reviewed.

Results: The morbidity rate of routine cystoscopies during TLHs is 4.19% (22/524 cases) in our centers. Our urinary complication rate is 2.45% (13/531 cases). Of these 13 complications, 4 were detected by cystoscopy.

Conclusion: The usefulness of routine cystoscopies performed intraoperatively during TLHs is questionable due to the number of morbid events and the low rate of urinary trauma in our centers. However, it is hard to establish a direct causality link between certain morbid events and cystoscopy. More studies should be conducted on this subject.

Keywords: Morbidity; Routine cystoscopy; Total laparoscopic hysterectomy; Urinary complication.

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Conflict of interest statement

Disclosure/Conflicts of Interest: MR has no disclosure to report, ASR has no disclosure to report, IB has no disclosure to report, EGS has no disclosure to report, EH has no disclosure to report, CT has no disclosure to report, CR reports honoraria from Abbvie outside of this work.

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