False-Positive Cystoscopic Diagnosis of Ureteral Obstruction After Hysterectomy Due to a Nonfunctional Kidney. Issue 3 (September 2015)

• Record Type: Journal Article
• Authors: Kundu, Kuhali; Martin, Laura; Henderson, Sean; Metro, Michael; Rodgers, Shuchi; Goldberg, Jay
• Is Part Of: Obstetrics and gynecology. Volume 126:Issue 3(2015)
• Publication Date: 2015-09
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1097/AOG.0000000000000786
• Languages: English
• ISSNs: 0029-7844

Abstract

Abstract : BACKGROUND: An estimated 0.2% of the population may have a unilateral nonfunctional kidney. This pre-existing condition may lead to the mistaken presumption that a ureteral injury has occurred when performing cystoscopy after hysterectomy. CASES: Two cases are presented in which cystoscopy to confirm ureteral patency after hysterectomy was performed in patients with pre-existing unknown nonfunctional kidneys. These false-positive findings resulted in additional operative time, additional cost, and unnecessary surgical exploration. CONCLUSION: 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. Abstract : When cystoscopy reveals apparent ureteral obstruction immediately after hysterectomy, the possibility of a nonfunctional kidney should be considered before surgical exploration.