2885 Endosee(R) Cystoscopy: An Alternative for Evaluating Ureteral Patency Following Total Laparoscopic Hysterectomy

Abstract

Video Objective To demonstrate an alternative method to evaluate for ureteral patency following benign hysterectomy. Design This is a retrospective cohort study of ten patients undergoing cystoscopy following benign hysterectomy to assess for ureteral patency. Setting This study took place at a single academic institution in the inpatient setting. Patients or Participants Patients were included in the study if they underwent total laparoscopic hysterectomy for benign indications from February 2019 to April 2019. Interventions Five patients underwent cystoscopy with traditional 70 degree rigid 17 French cystoscope. Five patients underwent cystoscopy with Endosee. Measurements and Main Results We compared cost, time, diameter size, and amount of bladder distending fluid required in patients undergoing traditional cystoscopy versus Endosee cystoscopy. The average cost for traditional cystoscopy was $246 and $165 (not including cost for hand piece) per case for Endosee cystoscopy. The average time for set-up and procedure was 7-12 minutes and 3 minutes for traditional and Endosee cystoscopy, respectively. The diameter of traditional cystoscope was 5.7 mm and 4.8 × 4.2 mm of Endosee cystoscope. Traditional cystoscope required approximately 200-300 mL distending fluid versus less than 60 mL distending fluid with Endosee. Conclusion Endosee cystoscopy is an efficient and reliable way to evaluate ureteral patency following benign total laparoscopic hysterectomy.