False-Positive Cystoscopic Diagnosis of Ureteral Obstruction After Hysterectomy Due to a Nonfunctional Kidney.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 25923025.
- Also identified by DOI 10.1097/AOG.0000000000000786.
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Abstract
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. 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. 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.
Medical subject headings
- Cystoscopy
- Diagnostic Errors
- Hysterectomy, Vaginal
- Intraoperative Complications
- Kidney
- Ureteral Obstruction