Cystourethroscopy following midurethral slings: is it always necessary?

Midurethral slings are the mainstay of treatment for stress urinary incontinence. The role of cystourethroscopy to detect lower urinary tract injury following retropubic midurethral slings is well-established; however, its role following transobturator or single-incision sling placement remains controversial. Some advocate "routine" whereas others advocate for "selective" cystourethroscopy. This paper reviews the arguments for and against cystourethroscopy to detect lower urinary tract injury following transobturator and single-incision slings.

International urogynecology journal. 2018 Mar 21 [Epub ahead of print]

Jerome Melon, Erin C Kelly, Kim W M van Delft

Pelvic Floor Unit, Monash Medical Centre, 246 Clayton Road, Clayton, VIC, 3168, Australia. ., Department of Obstetrics and Gynecology, London Health Sciences Centre, Victoria Campus, Western University, Room B2 401, 800 Commissioners Road East, London, ON, N6H 5W9, Canada., Obstetrics and Gynaecology, Radboud University Medical Centre, Geert Grooteplein Zuid 10 (route 791), Postbox 9101, 6500 HB, Nijmegen, The Netherlands.