Resident experiences with and post-training plans for cystoscopy at the time of hysterectomy

Womens Health (Lond). 2015 Nov;11(6):825-31. doi: 10.2217/whe.15.73. Epub 2015 Nov 30.

Abstract

Aims: To determine OB/GYN residents' experience with and opinions toward cystoscopy at the time of hysterectomy.

Study design: An internet survey of OB/GYN residents assessed utilization of cystoscopy at the time of hysterectomy, familiarity with literature regarding universal versus selective cystoscopy, and plans post residency.

Results: Cystoscopy was performed universally in the minority of cases of vaginal hysterectomy (12%), laparoscopically assisted vaginal hysterectomy (14%), supracervical hysterectomy (0%), total abdominal hysterectomy (2%), laparoscopic supracervical hysterectomy (9%), total laparoscopic hysterectomy (27%), and hysterectomy with adnexa removal (5%). Residents planned universal cystoscopy post-training more frequently for all hysterectomy types.

Conclusion: Cystoscopy at the time of hysterectomy was performed universally in the minority for all hysterectomy categories. For all hysterectomy types, residents planned post-graduation to utilize universal cystoscopy at the time of hysterectomy more often than occurred in training.

Keywords: bladder injury; cystoscopy; hysterectomy; selective; universal; ureteral injury.

MeSH terms

  • Cystoscopy / statistics & numerical data*
  • Female
  • Gynecology / education*
  • Health Surveys
  • Humans
  • Hysterectomy*
  • Internship and Residency / statistics & numerical data*
  • Obstetrics / education*
  • Practice Patterns, Physicians' / statistics & numerical data