Design: Not applicable

Setting: In the operating room, the patient is positioned in dorsal lithotomy and Trendelenburg for laparoscopic gynecologic surgery. A 5mm laparoscopic scope, laparoscopic suction irrigator, and foley catheter are utilized both for intra-abdominal gynecologic surgery and cystoscopy. These tools are used in place of a traditional cystoscope.

Patients or Participants: Not applicable

Interventions: With the foley catheter connected to the laparoscopic suction irrigator, the bladder can be backfilled with 200 to 300 milliliters of sterile saline solution. The foley balloon can then be deflated, catheter withdrawn, and the 5mm laparoscope that was previously used intra-abdominally can be inserted into the urethra, allowing for complete bladder survey at the end of the surgery.

Measurements and Main Results: Not applicable

Conclusion: Using a laparoscopic suction irrigator and 5mm laparoscope for cystoscopy in place of a traditional cystoscopy set is a safe, effective, and efficient way to perform cystoscopy during gynecologic surgery.