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#553

Risk of Ureteric Injury During Ipsilateral Uterosacral Ligament Vault Suspension with intra-operative Cystoscopy Sewell T1, Tawfeek S2, Afifi R3 1. Great Western Hospital, Swindon, UK, 2. Christchurch Women's Hospital, Christchurch, NZ, 3. Weston General Hospital, Weston Super-Mare, UK KEYWORDS: Pelvic Organ Prolapse, Surgery, Female Post hysterectomy vaginal vault prolapse (PHVVP) occurs in up to 40% of women following hysterectomy with 6-8% of cases requiring surgery (1). PHVVP often has a significantly negative impact on a woman's quality of life by causing vaginal discomfort as well as bowel, bladder and sexual dysfunction. Therefore, many authorities recommend a procedure such as uterosacral ligament vault suspension (ULVS) is performed alongside hysterectomy to prevent future PHVVP. However, there is a concern that performing ULVS increases the risk of ureteric injury. The incidence of ureteric injury during ULVS is unknown but may be underestimated by studies which do not employ a reliable technique to detect ureteric complications. In this study we aim to investigate the incidence of ureteric injury as well as other outcomes following ULVS procedures. Here we present a large case series detailing surgical outcomes from transvaginal ULVS with the use of intra-operative cystoscopy with indigocarmine to accurately detect ureteric injury. Read the full abstract text here: https://www.ics.org/2020/abstract/553