Preoperative cystoscopy as a risk stratification tool for massive hemorrhage in placenta accreta spectrum.

ABSTRACT:

Background

We aimed to evaluate preoperative cystoscopies performed in the setting of PAS at our institution, and compare their correlation with blood loss, histological diagnosis, and surgical complications.

Methods

We performed a retrospective review of patients with suspected PAS who underwent cystoscopy with ureteral stent placement at time of cesarean hysterectomy at a tertiary care center from 2018 to 2024. Inclusion criteria were scheduled cesarean hysterectomy, same surgeon, standardized surgical techniques, and availability of cystoscopy videos for review. Cystoscopies were reviewed for bulging, mucosal hyperemia (MH), MH around ureteral orifices (UOs), bridging blood vessels (BVs) with and without arterial pulsation, and distortion of trigone (DT.) Descriptive stat

SUBMITTER: Drummond RF 

PROVIDER: S-EPMC12538983 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature