Blue Urine Following Diagnostic Hysterolaparoscopy: A Postoperative Dilemma
DOI:
https://doi.org/10.22376/ijlpr.v15i4.2009Keywords:
Blue Urine, Diagnostic Hysterolaparoscopy, ChromopertubationAbstract
Tubal factors contribute to approximately 25%–35% of female infertility, with laparoscopic chromopertubation recognized as the gold standard for evaluating tubal patency. Methylene blue is commonly used during diagnostic hysterolaparoscopy to visualize tubal flow. Although generally safe, systemic absorption followed by urinary excretion may occasionally be mistaken for a postoperative complication. Here we review a case where methylene blue appeared in urine about five hours post-procedure, prompting concerns about dye absorption and emphasizing the need to understand its pharmacokinetics and normal excretory patterns.
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