Cystourethroscopy following midurethral slings: is it always necessary?
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.
KeywordsBladder injury Cystoscopy Midurethral slings Pros–cons Risk–benefits Urethral injury
Compliance with ethical standards
Conflicts of interest
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