Lower-Urinary Tract Injury and Management (On-Demand)-December 15 Video

Video Transcription

Video Summary

Dr. Maggie Mueller, an expert in obstetrics and gynecology, gave a presentation on the evaluation and management of lower urinary tract injuries. She discussed various types of injuries and their causes, such as bladder injuries during surgery. Dr. Mueller emphasized the importance of prompt identification of injuries to minimize complications and the risk of litigation. She explained different evaluation techniques, including retrograde pyleograms and cystoscopy, to assess the extent of the injuries. For management, she discussed conservative options such as stent placement and percutaneous nephrostomy tubes. In more severe cases, Dr. Mueller explained the process of ureteral re-implantation, highlighting the use of robotic surgery for better visualization and minimal invasiveness. She also addressed concerns about reflux and staining of the bladder from methylene blue, mentioning that reflux is not a major concern after re-implantation and that other contrast agents can be used. Overall, Dr. Mueller provided a comprehensive overview of the evaluation and management of lower urinary tract injuries, emphasizing the importance of timely identification and appropriate intervention. The webinar was hosted by an organization called AUGS, the American Urogynecologic Society.

Keywords

Dr. Maggie Mueller

obstetrics and gynecology

lower urinary tract injuries

bladder injuries

surgery

evaluation techniques

conservative options

ureteral re-implantation

robotic surgery