Published in:
01-11-2003 | Editorial
Filling in the blanks
Author:
Jerry G. Blaivas
Published in:
International Urogynecology Journal
|
Issue 5/2003
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Excerpt
Gynecologists can palpate the ureter and they can identify the uterosacral ligament; urologists cannot. Urologists can sew up bladders and catheterize ureters; gynecologists cannot. Even though some of each can, of course, perform some of the tasks of the other, this generalization holds true. Why? Gynecologists are terrified of the ureter and bladder; they see them only by accident. Urologists catheterize ureters and close cystotomies routinely. During residency, urologists never see the uterosacral ligament, whereas gynecologists see and feel the uterosacral ligament during every hysterectomy. I used to think that the ability to palpate the ureter through the open peritoneum during vaginal surgery was a myth propagated by the uninformed until a colleague of mine, a gynecologist, showed me how to do it. …