Intraoperative cystourethroscopy in the prevention and treatment of urinary tract injury in gynecological surgery
Bibliographic record
Abstract
Introduction Intraoperative injury to the urinary tract during gynecological surgery is a well-known complication and can involve the ureter, bladder, or urethra. If detected at the time of surgery, repair can be performed without significant consequence to postoperative recovery or urinary tract function. If undiagnosed, significant consequences can occur with the development of urinary fistulae and possible loss of kidney function. Secondary repair usually involves multiple outpatient visits and surgery, which results in loss of quality of life and possible long-term disability and medicolegal sequelae. At present, only 1 in 10 ureteric injuries and 1 in 2 bladder injuries are detected intraoperatively.1 A recent Canadian study2 showed the risk of litigation was increased 91-fold if a woman received a urinary tract injury compared with other complications during hysterectomy and tubo-ovarian surgery.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".