Recurrent non-absorbable suture erosion into the bladder after a Pereyra bladder neck suspension

Kannan, K.; Balakrishnan, Sivakumar; Kasper, A.; Corstiaans, Audrey; Rane, Ajay

doi:10.1080/01443610902888436

Cited by 1 publication

(2 citation statements)

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“…Therefore, a patient with an iatrogenic bladder stone usually presents with lower urinary tract symptoms such as pain, urgency, and/or intermittency in voiding within relatively short time after surgery. However, some studies showed that these materials can migrate through the tissues to reach other organs, including the bladder, with a long term time interval after surgery, even though the suture does not directly penetrate the bladder mucosa [7,8]. The delayed migration could be related to infection, an inflammation process, and/or tension and movement of the surrounding tissue [8].…”

Section: Discussionmentioning

confidence: 99%

“…However, some studies showed that these materials can migrate through the tissues to reach other organs, including the bladder, with a long term time interval after surgery, even though the suture does not directly penetrate the bladder mucosa [7,8]. The delayed migration could be related to infection, an inflammation process, and/or tension and movement of the surrounding tissue [8]. Biyani et al report delayed migration of sutures into the bladder occurring seven years after a colposuspension procedure [9].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bladder stone formation on permanent suture material ten years after laparoscopic high uterosacral ligament suspension

Jang¹,

Park²,

Han³

et al. 2017

Clin. Exp. Obstet. Gynecol.

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The present authors describe an uncommon case of iatrogenic bladder stone formation in a patient who underwent surgery for pelvic organ prolapse. A female patient who underwent high uterosacral ligament suspension ten years ago presented with pyuria and irritable bladder symptoms that did not respond to treatment. She had not experienced any specific urinary symptoms during the previous ten years. Patient evaluation revealed bladder stone formation on the non-absorbable suture material used during the previous operation. Cystoscopy during the previous operation did not find the suture material, and the suture knot that was tied extravesically during the operation was found inside the bladder. These strongly suggest delayed migration and rotation of the suture knot after surgery rather than direct penetration of the bladder during operation. Delayed suture migration is a long-term complication that clinicians should consider in a patient who suffers from recurrent urinary symptoms after pelvic surgery around the bladder.

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Section: Discussionmentioning

confidence: 99%