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Add Cystoscopy to Incontinence, Vaginal Surgery

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Expert Analysis from an International Pelvic Reconstructive and Vaginal Surgery Conference

An inflammatory reaction in the bladder neck or proximal urethra. These “pseudo-polyps” or “fronds” are an inflammatory response to a recent bladder infection, and represent a benign condition.

Sluggish flow of urine on ureteral examination. This could be normal, but could be a sign of partial obstruction from the current surgery or a past surgery, a kidney stone, or a possible stricture in the ureter. Postoperative swelling neighboring the ureter could cause obstruction, and a work-up is warranted if this is suspected.

Dr. Lotze disclosed that he is a speaker for Boston Scientific, and has conducted research for the company.