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Updated: Aug 30, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Intraoperative and postoperative morbidity associated with cystoscopy performed in patients undergoing gynecologic
Alex Ferro1, David Byck, Donald Gallup
1Department of Obstetrics and Gynecology, Education Memorial Health University Medical Center, Mercer University School of Medicine Savannah, GA 31404, USA.
Objective:
The purpose of this study was to evaluate the role of cystoscopy during major gynecologic surgery and to describe an interesting and rare complication that was encountered.
Study Design:
This was an observational descriptive study. A retrospective review was performed. Data collected included intraoperative lower urinary tract injuries, injuries that were related directly to cystoscopy, and postoperative morbidity.
Results:
One hundred one cases were evaluated. Eight lower urinary tract injuries were noted, 4 of which were detected at cystoscopy and 3 of which (2.97%) were detected intraoperatively before cystoscopy. There was one complication that was linked directly to cystoscopy. There were nine postoperative urinary tract infections. Total cost per case excluding anesthesia time was $54.42.
Conclusion:
Liberal use of cystoscopy in gynecologic surgery is recommended. The procedure is safe, easily learned, and inexpensive to perform.
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