A urologic injury is the most common injury at the time of either obstetric or gynecologic surgery, with the bladder being the most frequent organ damaged. Intraoperative and post-operative management of bladder injury is a crucial decision making for an operating surgeon. This article tries to shed some light on this aspect of the complication of gynecological surgery. The routine use of intraoperative cystourethroscopy (cystoscopy) to screen for urinary tract injury in women undergoing major gynecologic surgery is a topic of debate.
Visual examination of the urinary tract and visualization by applying urine dye is routinely performed during gynecologic surgery. In addition, cystoscopy can be performed routinely (ie, for all women) or selectively (ie, based on patient risk factors or intraoperative concerns). Intraoperative management Urinary tract injury during surgery must be given…
