Lower urinary tract injury during the Burch procedure: Is there a role for routine cystoscopy?

Stevenson, Katherine R.; Cholhan, Hilary J.; Hartmann, Diane M.; Buchsbaum, Gunhilde M.; Guzick, David S.

doi:10.1016/s0002-9378(99)70432-1

Cited by 26 publications

(7 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emphasis should be on the recognition and repair at the time of surgery. Stevenson et al 13 recommend the use of cystoscopy during urethropexy operations due to the high potential for missing bladder injuries at the time of Burch colposuspension. We routinely use cystoscopy prior to secondary colposuspension to rule out sutures and other intravesical pathology from previous surgery.…”

Section: Discussionmentioning

confidence: 99%

Secondary colposuspension: results of a prospective study from a tertiary referral centre

Thakar¹

2002

BJOG: An International Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

Objective To evaluate the results of secondary colposuspension in women with recurrent urinary stress incontinence. Design Prospective cross sectional observational study.Setting Tertiary referral urogynaecology unit.Population Fifty-six women with recurrent stress incontinence.Main outcome measures Determine prognostic factors that may affect the outcome of surgery, long term subjective and objective success rates and identify complications of secondary colposuspension. Results The mean age was 54 years (range 34-83) and the median parity was 3 (range 1 -5). The median length of follow up was four years (range 1.01-7.07). Forty-two (75%) women had genuine stress incontinence and 14 (25%) had mixed incontinence on subtracted cystometry. The subjective cure rate was 71% and the objective cure rate was 80% and, as per Kaplan -Meier life time analysis, 65% had not failed surgery five years after the operation. The complication rate was low. However at follow up, eight women had required a posterior colporrhaphy for rectocele and three had a sacrocolpopexy for vault prolapse. Another eight women required further treatment for stress incontinence (seven urethral bulking agents and one tension-free vaginal tape). There was no correlation of the outcome to age, past hysterectomy, number of previous incontinence procedures, parity, body mass index or blood loss at operation. Conclusion Colposuspension after failed continence surgery has a good outcome with a low complication rate, but many still require further surgery for prolapse.

show abstract

Section: Discussionmentioning

confidence: 99%

Secondary colposuspension: results of a prospective study from a tertiary referral centre

Thakar¹

2002

BJOG: An International Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

show abstract

“…Other surgeons use cystoscopy to visualize the operative results from the vesical side, which can confirm the satisfactory elevation of the bladder neck and, if any sutures are present within the bladder, they can be identified, removed, and replaced [8,9].…”

Section: Discussionmentioning

confidence: 99%

“…Suture placement in terms of specific anatomic landmarks has unfortunately not always been stated. However, traditionally most surgeons identify the urethrovesical junction (UVJ) by inserting the index and middle fingers into the vagina on either side of the Foley catheter [6], there are some surgeons who use a vascular clip intraoperatively [7], and many others have adopted the practice of performing cystoscopy for all patients undergoing colposuspension to identify the UVJ [8,9].…”

Section: Introductionmentioning

confidence: 99%

Expeditious Method of Urethrovesical Junction Determination in Retropubic Colposuspension with Intraballoon Illumination of Foley Catheter

Kafalı

Verit²,

Verit³

et al. 2003

Urol Int

View full text Add to dashboard Cite

Objective: To investigate the efficiency and safety of Foley catheter intraballoon illumination in determining the urethrovesical junction (UVJ) in retropubic colposuspension. Method: Our accessory set for UVJ determination is composed of a 24-french Foley catheter and a 5-mm 0° telescope. The telescope is inserted into the catheter from the urinary luminal side until the tip has reached the level of the catheter balloon. After dissection of the bladder, urethra, and paraurethral tissues to reveal the submucosal endopelvic fascia, the accessory set is inserted into the bladder and the balloon is inflated with 5 ml air and illuminated by a switch on the cold light source. To determine the right side of UVJ, the catheter is pulled slightly downward and to the right of the patient. The contralateral side of the UVJ is determined by pulling the catheter slightly downward and to the left of the patient. Result: Intraballoon illumination of the Foley catheter helps to ensure accurate placement of paraurethral sutures at UVJ. Conclusion: Intraballoon illumination for determination of UVJ is simple, safe, effective and precludes an invasive approach such as cystoscopy and cystotomy.

show abstract

“…Based on published reviews of intraoperative cystoscopy to detect urinary tract injuries, we selected procedures associated with a high risk of ureteral injuries [1][2][3]. The following procedures were included: culdoplasty [3], anterior colporrhaphy [2,3], retropubic urethropexy [2,7], colpocleisis [2], abdominal colpopexy [2], sacrospinous ligament suspension [3], suburethral slings [2,3], paravaginal defect repair [3] and transvaginal uterosacral ligament suspension [2]. Abdominal and vaginal hysterectomies were included only when they were performed in conjunction with one of the above procedures.…”

Section: Methodsmentioning

confidence: 99%

Diagnosis of Ureteral Obstruction during Complex Urogynecologic Surgery

Handa

Maddox

2001

Int Urogynecol J

View full text Add to dashboard Cite

Intraoperative cystoscopy has been recommended to identify unsuspected bladder and ureteral injuries resulting from gynecologic surgery. We retrospectively reviewed 157 cases of complex urogynecologic procedures at our institution. Intraoperative cystoscopy revealed no bladder injuries. Five cases of unsuspected ureteral obstruction were identified (3.2%). One case of ureteral ligation was diagnosed and repaired intraoperatively. The remaining 4 cases were found to represent chronic ureteral obstruction resulting from pelvic organ prolapse (2 cases), ureteropelvic junction obstruction (1 case) and stenosis of the ureterovesical junction after transurethral resection (1 case). Intraoperative assessment required an average of 90 minutes. Our experience suggests that pre-existing ureteral obstruction may be more common than intraoperative injury. In selected populations, routine preoperative assessment of the ureters is indicated to simplify intraoperative evaluation.

show abstract

Lower urinary tract injury during the Burch procedure: Is there a role for routine cystoscopy?

Cited by 26 publications

References 6 publications

Secondary colposuspension: results of a prospective study from a tertiary referral centre

Secondary colposuspension: results of a prospective study from a tertiary referral centre

Expeditious Method of Urethrovesical Junction Determination in Retropubic Colposuspension with Intraballoon Illumination of Foley Catheter

Diagnosis of Ureteral Obstruction during Complex Urogynecologic Surgery

Contact Info

Product

Resources

About