Urinary bladder wall repair: what suture to use?

Pal, Khawaja Muhammad Inam

doi:10.1046/j.1464-410x.1998.00722.x

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…The presence of nonabsorbable suture material in the bladder is a well-known cause of urinary tract infection and stone formation [5] and defined complication of hysterectomy and colposuspension. Information on the lithogenic properties of various suture materials is unfortunately limited to only in vitro and in vivo animal studies [6,7]. In humans, experience with stone formation related to suture materials is limited to case reports.…”

Section: Discussionmentioning

confidence: 99%

Burch kolposüspansiyonu ve abdominal histerektomi sonrası polipropilen sütüre ikincil mesane taşı oluşumu

Özbilen¹,

Ergani²,

Çetin³

et al. 2021

Pamukkale Medical Journal

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Bladder calculies are stones or calcified materials found in the bladder. Foreign bodies that come into contact with the urine may cause bladder stones. Examples of foreign body include suture materials, clips, catheters, ureteral stents, urinary incontinence meshes or migration of an intrauterine device. A 63-year-old female patient was admitted to our urology clinic with dysuria, frequent urination and mixed type urinary incontinence for a year. The patient had a history of abdominal hysterectomy and Burch colposuspension two years ago. Computerized tomography of the patient revealed a bladder stone measuring 2.9x2.6 cm.The patient underwent cystolithotripsy with Holmium (Ho: YAG) laser. The bladder stone was found to be attached to the bladder wall by a polypropylene suture. The suture material was removed endoscopically. The patient has no complaints during the 2-year follow-up. The presence of nonabsorbable suture material in the bladder is a well-known cause of urinary tract infection and stone formation and defined complication of hysterectomy and colposuspension. Information on the lithogenic properties of various suture materials is unfortunately limited to only in vitro and in vivo animal studies. In humans, experience with stone formation related to suture materials is limited to case reports. It has been observed that lithogenicity is related to the longevity of the suture material and in the studies carried out it has been observed that the rate of calcification with non-absorbable sutures is higher. Treatment includes disintegration of the stone and removal of the foreign body causing the stone.

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Section: Discussionmentioning

confidence: 99%

Burch kolposüspansiyonu ve abdominal histerektomi sonrası polipropilen sütüre ikincil mesane taşı oluşumu

Özbilen¹,

Ergani²,

Çetin³

et al. 2021

Pamukkale Medical Journal

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“…The flexibility and stretchability of acellular matrix and artificial scaffolds are also crucial for adapting to increasing urine volume and stress ( Chowdhury et al, 2021 ). Last but not least, suture resistance and impermeability are necessary for temporary storage of urine to avoid urine leakage ( Pal, 1998 ; Ajalloueian et al, 2018 ; Lee et al, 2021 ). It can be expected that the promotion of the advantages and overcoming the disadvantages of different types of scaffold will make urinary tissue engineering better.…”

Section: Biomaterialsmentioning

confidence: 99%

Research progress of biomaterials and innovative technologies in urinary tissue engineering

Duan

Wang

Fan

et al. 2023

Front. Bioeng. Biotechnol.

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Substantial interests have been attracted to multiple bioactive and biomimetic biomaterials in recent decades because of their ability in presenting a structural and functional reconstruction of urinary tissues. Some innovative technologies have also been surging in urinary tissue engineering and urological regeneration by providing insights into the physiological behavior of the urinary system. As such, the hierarchical structure and tissue function of the bladder, urethra, and ureter can be reproduced similarly to the native urinary tissues. This review aims to summarize recent advances in functional biomaterials and biomimetic technologies toward urological reconstruction. Various nanofirous biomaterials derived from decellularized natural tissues, synthetic biopolymers, and hybrid scaffolds were developed with desired microstructure, surface chemistry, and mechanical properties. Some growth factors, drugs, as well as inorganic nanomaterials were also utilized to enhance the biological activity and functionality of scaffolds. Notably, it is emphasized that advanced approaches, such as 3D (bio) printing and organoids, have also been developed to facilitate structural and functional regeneration of the urological system. So in this review, we discussed the fabrication strategies, physiochemical properties, and biofunctional modification of regenerative biomaterials and their potential clinical application of fast-evolving technologies. In addition, future prospective and commercial products are further proposed and discussed.

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“…An ideal suture has the property of being absorbed after complete tissue healing so that a foreign body does not continue to exist in the wound [2]. However, the absorptiveness of suture materials is associated with different advantages and disadvantages leading to a variety of preferences among practicing surgeons.…”

Section: Introductionmentioning

confidence: 99%

“…However, the absorptiveness of suture materials is associated with different advantages and disadvantages leading to a variety of preferences among practicing surgeons. Many surgeons believe that non-absorbable suture materials are superior to absorbable suture materials, because they are easier to tie, are unlikely to break early, and induce a weaker inflammatory response [2]. Others favor absorbable suture materials since they disappear spontaneously and cause less pain and discomfort for the patient [3].…”

Section: Introductionmentioning

confidence: 99%

Minute Colon Perforation by a Nonabsorbable Suture Knot after Uterine Myomectomy

Kim¹,

Nam²,

Lee³

2022

Ewha Med J

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We report a rare case of suture material-related colon perforation. A 60-year-old woman visited clinics because of the nonspecific abdominal discomfort for several months. There were no specific medical history except previous laparoscopic myomectomy 15 years ago. Colonoscopy and abdomen-pelvis computed tomography revealed an unknown foreign body penetrating the sigmoid colon wall adjacent to the uterus. We performed laparoscopic exploration with foreign body removal and primary colon wall repair. The foreign body was identified as a non-absorbable suture material suggestive of used in previous myomectomy. With recent trends for minimally invasive procedures in the field of pelvic organ surgery, surgeons, especially those without sufficient training have to pay attention to selecting the proper surgical suture materials. (Ewha Med J 2022;45(3):e7)

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Urinary bladder wall repair: what suture to use?

Cited by 9 publications

References 7 publications

Burch kolposüspansiyonu ve abdominal histerektomi sonrası polipropilen sütüre ikincil mesane taşı oluşumu

Burch kolposüspansiyonu ve abdominal histerektomi sonrası polipropilen sütüre ikincil mesane taşı oluşumu

Research progress of biomaterials and innovative technologies in urinary tissue engineering

Minute Colon Perforation by a Nonabsorbable Suture Knot after Uterine Myomectomy

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