OBJECTIVES: The aim of this study was to determine the utility of intraoperative cystoscopy in detecting and managing @entity1901 among @entity1 undergoing vaginal hysterectomy. METHODS: We performed a secondary analysis of a retrospective cohort study of 593 @entity1 who underwent vaginal hysterectomy for benign indications, with or without additional pelvic floor reconstructive surgery, from January 2, 2004, through December 30, 2005. A logistic regression model determining the propensity to undergo intraoperative cystoscopy was constructed. Comparisons of @entity1901 and cost between @entity1 with and without cystoscopy were adjusted for the cystoscopy propensity score. We further explored the feasibility of using perioperative change in creatinine level to detect @entity1901 . RESULTS: In total, 230 (38.8%) of 593 @entity1 underwent cystoscopy. Six @entity1 (2.6%) in the cystoscopy group and 5 (1.4%) in the no-cystoscopy group had @entity1901 (odds ratio, 1.92; 95% confidence interval [CI], 0.58-6.36). This association was further attenuated after adjusting for the propensity to undergo cystoscopy (odds ratio, 1.31; 95% CI, 0.19-9.09). Four injuries detected cystoscopically were managed intraoperatively. Adjusted mean-predicted costs for @entity1 undergoing cystoscopy were  10,686 (95% CI,  7500- 13,872) versus  10,217 (95% CI,  6894- 13,540). In the no-cystoscopy group, @entity1 with @entity1901 had a median increase in creatinine level of 0.2 mg/dL, whereas @entity1 without injury had a median decrease of 0.1 mg/dL (P < 0.001). CONCLUSIONS: The level of selection for cystoscopy did not significantly increase the mean predicted costs for @entity1 . Reliance on postoperative creatinine level to detect @entity1901 , while highly sensitive, is limited by a low positive predictive value and variable range.

Utility of Intraoperative Cystoscopy in Detecting XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity1901 :: ('MESH:D014515', 'Disease') :: ['ureteral injuries', 'ureteral injury']
@entity1901 :: (MESH:D014515,Disease) :: ['Ureteral Injury During Vaginal Hysterectomy']
