Intraoperative cystoscopy and ureteral visualization

Over the years, I’ve been asked to inject various dyes to help light up the urine for visualization of the ureters.  Now, we’ve moved to fluorescein because it “lights up” quicker than other previous dyes.  Why are we always switching?  Drug shortages.

• Obstet Gynecol. 2015 Mar;125(3):548-50. Sodium fluorescein use during intraoperative cystoscopy.

Dosing: 0.25 – 1.0 ml of 10% preparation of sodium fluorescein

• J Urol. 1995 Jul;154(1):62-5.  Fluorescein angiography of the bladder: technique and relevance to bladder cancer and interstitial cystitis patients.

Dose: 5 ml. bolus of 10% fluorescein intravenously.

• PDF chart of Dye Agent alternatives