John L Washington1. 1. Central Carolina Gynecology & Urogynecology, Suite 2900, Medical Arts Building, 1236 Huffman Mill Road, Burlington, NC 27215, USA.
Abstract
BACKGROUND: As new variations of operations are performed, complications must be recognized and reported. Erosion of staples into the bladder following mesh and staple laparoscopic colposuspension is a complication that must be anticipated, recognized and managed by the laparoscopic surgeon. CASE: A woman presented, four years after mesh and staple colposuspension for stress urinary incontinence, with bladder pain and hematuria. A staple was seen under the urothelium in the bladder dome and was removed cystoscopically, with resolution of symptoms. CONCLUSION: This is an avoidable complication of an increasingly performed procedure. Correction can be effected cystoscopically if the staple is visible.
BACKGROUND: As new variations of operations are performed, complications must be recognized and reported. Erosion of staples into the bladder following mesh and staple laparoscopic colposuspension is a complication that must be anticipated, recognized and managed by the laparoscopic surgeon. CASE: A woman presented, four years after mesh and staple colposuspension for stress urinary incontinence, with bladder pain and hematuria. A staple was seen under the urothelium in the bladder dome and was removed cystoscopically, with resolution of symptoms. CONCLUSION: This is an avoidable complication of an increasingly performed procedure. Correction can be effected cystoscopically if the staple is visible.
Authors: K Baeßler; T Aigmüller; S Albrich; C Anthuber; D Finas; T Fink; C Fünfgeld; B Gabriel; U Henscher; F H Hetzer; M Hübner; B Junginger; K Jundt; S Kropshofer; A Kuhn; L Logé; G Nauman; U Peschers; T Pfiffer; O Schwandner; A Strauss; R Tunn; V Viereck Journal: Geburtshilfe Frauenheilkd Date: 2016-12 Impact factor: 2.915