Cystitis Cystica on Routine Cystoscopy at Time of Total Laparoscopic Hysterectomy

A 52yo postmenopausal woman with chronic pelvic pain and a history of interstitial cystitis underwent total laparoscopic hysterectomy, bilateral salpingectomy, and cystoscopy. Two months before surgery, the patient had a cystoscopy with urogynecology revealing a normal bladder and urethra. Two weeks prior to hysterectomy, she was treated for an Escherichia coli urinary tract infection (UTI) with cephalexin. After an uncomplicated hysterectomy (without evidence of endometriosis), routine cystoscopy was performed which revealed the above findings (figure 1).

Source: The Journal of Minimally Invasive Gynecology - February 5, 2019 Category: OBGYN Authors: Beth H. Leopold, Christina M. Johnson, Gretchen E.H. Makai Tags: Images in Gynecology Source Type: research