General Intraoperative and Postoperative Procedures

We routinely perform cystoscopy, either transurethrally or through the dome of the bladder, or cystotomy to document ureteral patency and absence of intravesical sutures after retropubic procedures.

Closed suction drains in the retropubic space are used only as necessary when hemostasis is incomplete and there is concern about postoperative hematoma. The bladder is routinely drained with a suprapubic or transurethral catheter for 1 to 2 days. After that time, the patient is allowed to begin voiding trials, and postvoid residual urine volumes are checked, either with the suprapubic catheter or by intermittent self-catheterization.

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