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Cystoscopy safe, accurate after vaginal surgery.(Gynecology)(Brief Article)

OB GYN News

| November 01, 2005 | Worcester, Sharon | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

ATLANTA -- Cystoscopy with intravenous indigo carmine dye is safe and accurate for detecting ureteral obstruction following vaginal surgery for pelvic organ prolapse, Arlan M. Gustilo-Ashby, M.D., said at the annual meeting of the American Urogynecologic Society.

Although the technique is commonly used for secondary prevention of ureteral injury in patients undergoing vaginal surgery, its accuracy and efficacy have not been well defined, according to Dr. Gustilo-Ashby of the Cleveland Clinic Foundation.

In a retrospective study of 700 patients who underwent vaginal surgery for anterior and/or apical prolapse from 2001 to 2004, and who also underwent intraoperative cystoscopy with intravenous indigo carmine to evaluate ureteral patency, 37 patients (5.3%) had no spillage of dye from either ureter. Three of the ...

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