Urinary Tract Injury During Hysterectomy Based on Universal Cystoscopy

Abstract

III.

Assessing ureteral patency using 10% dextrose cystoscopy fluid: evaluation of urinary tract infection rates

“…[8][9][10][11] Intravenous indigo carmine (indigotindisulfonate sodium) is a marker dye produced by Akorn (Lake Forest, IL) and American Regent (Shirley, NY) and has been used routinely by many providers to confirm ureteral patency. [6][7][8][11][12][13][14][15] On June 20, 2014, a drug shortage bulletin was issued by the Food and Drug Administration describing a national shortage of the dye, and by Jan. 16, 2015, discontinuation of the product was announced. 16 In the absence of indigo carmine, surgeons have sought safe and effective alternatives to evaluate ureteral patency.…”

Incidental diagnosis of asymptomatic unilateral complete duplication of ureter during total laparoscopic hysterectomy

“…Ibeanu et al has reported that nearly early 80% of ureteral injuries occur near the uterine artery. 10 Cohen et al in their study has mentioned the second strategy as addressing patient-specific risk factors especially in patients undergoing hysterectomy for large uteri or who require resection of adnexal masses who are also at increased risk of ureteral injury. 11 This may be related to anatomic distortion and engorgement of the vasculature, which can make identification of the anatomic course of the ureter challenging.…”

Comparison of Abdominal And Vaginal Hysterectomy: A Comparative Clinical Study At A Tertiary Hospital Of Southern Part of Bangladesh

“…Falcone et al have confirmed the success of the vaginal approach in patients with these characteristics 26 . Another study shows the rates of urethral and bladder injuries at the time of VH were 0.88% and 1.76%, respectively 19 . Consistent with this, in a recent large case series, the incidence of bowel injury was low in VH patients 19 .…”

“…Another study shows the rates of urethral and bladder injuries at the time of VH were 0.88% and 1.76%, respectively 19 . Consistent with this, in a recent large case series, the incidence of bowel injury was low in VH patients 19 . Furthermore, multiple studies shows conversion rates from the vaginal to abdominal approach have been reported to be of 0.4% in a retrospective review of 220 patients [27][28][29] .…”

“…Damage to the bowel is quite uncommon, particularly with VH 18 . About 80% injuries occur at the junction of ureter and uterine artery 19 . Younger women undergoing hysterectomy for symptomatic fibroids (especially LAVH) are at most risk of experiencing severe operative and postoperative complications 20 .…”