Introduction
Urinary tract injury, although rare, is a significant complication in women undergoing laparoscopic, vaginal, or abdominal gynecologic surgery. Cystoscopy at the time of hysterectomy has been proposed to be a valuable tool for recognizing the ureteral and bladder injury, permitting immediate repair, and minimize this way long term complication, re-operation, or litigation issues. (1) Moreover, in 2012, the American Association of Gynecologic Laparoscopists recommended that routine cystoscopy be performed after all laparoscopic hysterectomies, whereas the American College of Obstetricians and Gynecologists limited the endorsement to prolapse and incontinence procedures. (2, 3) Nevertheless, universal cystoscopy’s cost-effectiveness and the availability of endoscopic equipment are unsolved problems in countries with low and high resources. (4, 5)