International Urogynecology Journal

, Volume 29, Issue 6, pp 789–793 | Cite as

Cystourethroscopy following midurethral slings: is it always necessary?

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


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.


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


Compliance with ethical standards

Financial disclaimers


Conflicts of interest



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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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