Post-hysterectomy cystoscopy may lead to false-positive result

August 17, 2015

(HealthDay)—For patients with a pre-existing unknown nonfunctional kidney, cystoscopy to confirm ureteral patency after hysterectomy may lead to an incorrect assumption of a ureteral injury, according to a case report published in the September issue of Obstetrics & Gynecology.

Kuhali Kundu, D.O., from Einstein Medical Center in Philadelphia, and colleagues describe two cases in which cystoscopy was performed in with a pre-existing unknown nonfunctional kidney to confirm ureteral patency after .

Two cases are presented by the researchers: a 42-year-old woman who underwent an attempted vaginal hysterectomy converted to abdominal hysterectomy and a 35-year-old woman who underwent . Neither patient underwent preoperative evaluation of the kidneys. Cystoscopy to confirm ureteral patency with intravenous indigo carmine was performed in both cases; there was no efflux of blue-tinted urine from the right ureteral orifice and the patients underwent further exploratory surgery. While the second patient was under anesthesia, discussion with the family revealed that the patient had been diagnosed with a unilateral nonfunctional kidney of unknown etiology as a child. Both patients underwent extensive additional operating room time (three and 3.5 hours, respectively) in addition to radiation exposure.

"Cystoscopy to confirm ureteral patency after hysterectomy may lead to an incorrect presumption of a ureteral injury in patients with a pre-existing nonfunctional kidney," the authors write.

Explore further: Extracorporeal shock wave lithotripsy best at 90 pulses/min

More information: Full Text (subscription or payment may be required)

Related Stories

Extracorporeal shock wave lithotripsy best at 90 pulses/min

July 16, 2015
(HealthDay)—For ureteral stones, extracorporeal shock wave lithotripsy delivered at a shock wave delivery rate of 90 pulses per minute is associated with excellent outcomes, according to a study published in the August ...

Fluoro-less ureteral stent placement deemed feasible

October 15, 2012
(HealthDay)—The placement of ureteral stents following uncomplicated ureteroscopic stone removal, without fluoroscopy for image guidance, is feasible and has comparable accuracy and complication rates to that of conventional ...

Laparoscopic hysterectomy rates on rise over past decade

April 16, 2013
(HealthDay)—The rate of laparoscopic hysterectomy has greatly increased over the past decade and is now higher than that of abdominal hysterectomy, according to a study in the April issue of the American Journal of Obstetrics ...

Hysterectomy at younger age tied to heart disease risks

August 5, 2015
(HealthDay)—Hysterectomy is associated with an increased likelihood of cardiovascular risk factors and disease, especially among younger women, a new study suggests.

Total vaginal hysterectomy generates net hospital income

February 21, 2014
(HealthDay)—Compared with total vaginal hysterectomy (TVH), hospital costs are greater with laparoscopic assisted vaginal hysterectomy (LAVH), total laparoscopic hysterectomy (TLH), and robotic hysterectomy (RH), according ...

Study: Ureteral injury during robot-assisted prostate surgery

November 19, 2013
There may be warning signs to help surgeons avoid damaging part of the urinary system during robot-assisted surgical removal of prostate cancer, ultimately preventing the expense of additional surgery, according to researchers ...

Recommended for you

Undiagnosed STIs can increase negative PMS symptoms

September 17, 2018
Women that have undiagnosed sexually transmitted infections may be at greater risk of experiencing negative premenstrual symptoms (PMS), according to new Oxford University research.

High dose folic acid does not prevent pre-eclampsia in high risk women

September 13, 2018
Taking high dose folic acid supplements in later pregnancy (beyond the first trimester) does not prevent pre-eclampsia in women at high risk for this condition, finds a randomised controlled trial published by The BMJ today.

Study finds air purifiers may benefit fetal growth

September 12, 2018
A new study led by SFU health sciences researchers Prabjit Barn and Ryan Allen reveals fetal growth may improve if pregnant women use portable air purifiers inside their homes.

Delayed childbearing is a growing source of multiple births, study shows

September 12, 2018
Starting in the 1980s, the number of multiple births—twins, triplets, quadruplets and quintuplets—steadily increased from about 20 sets per 1,000 live births to almost 35 sets per 1,000 live births in the 2010s.

Transforming pregnancy research with a smartphone app

September 5, 2018
For years, pregnant women have been underrepresented in biomedical research. Current treatments, interventions and guidelines do a poor job of taking into consideration the diverse characteristics of all pregnant women.

For women undergoing IVF, is fresh or frozen embryo transfer best?

August 21, 2018
The world's first baby born via in-vitro fertilization turned 40 years old this summer. Still, after four decades, IVF is a relatively new field with ongoing debate on how to get the best results for families who have placed ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.