Cystourethroscopy following midurethral slings: is it always necessary?

  • Jerome Melon
  • Erin C. Kelly
  • Kim W. M. van Delft
Clinical Opinion
  • 29 Downloads

Abstract

Midurethral slings are the mainstay of treatment for stress urinary incontinence. The role of cystourethroscopy to detect lower urinary tract injury following retropubic midurethral slings is well-established; however, its role following transobturator or single-incision sling placement remains controversial. Some advocate “routine” whereas others advocate for “selective” cystourethroscopy. This paper reviews the arguments for and against cystourethroscopy to detect lower urinary tract injury following transobturator and single-incision slings.

Keywords

Bladder injury Cystoscopy Midurethral slings Pros–cons Risk–benefits Urethral injury 

Notes

Compliance with ethical standards

Financial disclaimers

None.

Conflicts of interest

None.

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Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Pelvic Floor UnitMonash Medical CentreClaytonAustralia
  2. 2.Department of Obstetrics and Gynecology, London Health Sciences Centre, Victoria CampusWestern UniversityLondonCanada
  3. 3.Obstetrics and GynaecologyRadboud University Medical CentreNijmegenThe Netherlands

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