Benefit of Routine Cystoscopy at Time Uncomplicated Total Laparoscopic Hysterectomy

Study Objective To demonstrate the value of routine cystoscopy for evaluation of bladder injury at time of laparoscopic hysterectomy. Design Video abstract. Setting Minimally invasive gynecologic surgery department at an academic community hospital. Patients or Participants Patients who underwent an uncomplicated total laparoscopic hysterectomy with bilateral salpingectomy for abnormal uterine bleeding and fibroids. Interventions Routine cystoscopy following a seemingly uncomplicated total laparoscopic hysterectomy with primary repair of bladder after unanticipated thermal bladder injury noted. Measurements and Main Results Following total laparoscopic hysterectomy, visual inspection of the pelvis did not reveal any injuries to the bladder or ureters. At time of routine cystoscopy, a Conclusion Recommendation for routine cystoscopy following laparoscopic hysterectomies to adequately assess for possible thermal bladder injury that otherwise would be undetected with visual inspection.