In this video, we will discuss that In contemporary gynecologic surgery, especially in procedures involving the pelvic organs, the ability to perform and interpret a cystoscopy has become an essential skill. This video, titled "Essential Cystoscopy Knowledge for Gynecologists: Enhancing Urological Insight in Gynecologic Practice," provides a comprehensive overview of the role of cystoscopy in improving surgical safety, detecting urological injuries, and expanding the diagnostic and therapeutic scope of gynecologists.

Why Cystoscopy Matters in Gynecology

Cystoscopy—the endoscopic visualization of the urinary bladder and urethra—allows gynecologists to directly inspect the bladder mucosa, ureteric orifices, and urethral outlet. This is particularly important during procedures where urinary tract structures are at risk, such as:

Total laparoscopic hysterectomy (TLH)

Pelvic organ prolapse repair
Endometriosis excision
Stress urinary incontinence procedures
Ureteral stent placement or assessment

Even in routine pelvic surgeries, intraoperative cystoscopy can confirm ureteric patency, prevent delayed recognition of injuries, and guide immediate repair, thereby reducing postoperative complications.

Key Topics Covered in the Video

Indications for Intraoperative Cystoscopy

The video explains when and why to perform cystoscopy, especially in high-risk pelvic surgeries and when abnormal anatomy or difficult dissection is encountered.

Instrumentation and Setup

A step-by-step guide on how to set up the cystoscope, connect the light source, camera, and irrigation system, and prepare the patient in lithotomy position.

Technique and Bladder Inspection

Demonstration of safe cystoscope insertion, bladder distension, and sequential inspection of bladder walls, trigone, dome, and ureteric jets.

Identifying Normal vs. Abnormal Findings

The video helps gynecologists recognize ureteric orifice function, identify foreign bodies, suture involvement, hematoma, or bladder perforation, and interpret unusual mucosal patterns.

Documentation and Safety Tips

Emphasis on documenting findings, ensuring bilateral ureteric efflux, and troubleshooting in case of absent urine jets or unclear anatomy.

Postoperative Applications

Using cystoscopy post-repair or in follow-up to assess outcomes in cases of fistula, mesh complications, or bladder injury.

Clinical Relevance and Impact

Enhances intraoperative decision-making and surgical confidence
Reduces medicolegal risk by promptly identifying urologic injuries
Improves interdisciplinary collaboration between gynecology and urology
Facilitates minimally invasive management of urinary tract complications
Empowers gynecologists to adopt urogynecologic techniques in their practice

Conclusion

As gynecologic surgery advances into more complex and minimally invasive domains, cystoscopy is no longer optional—it is essential. This video aims to equip gynecologists with the practical knowledge and visual understanding needed to perform cystoscopy effectively and confidently.

Watch the full video to strengthen your skills in cystoscopy and elevate your surgical practice by integrating urological insight into everyday gynecologic procedures. Don’t forget to like, comment, and subscribe for more surgical education from World Laparoscopy Hospital.