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[Iatrogenic bladder lithiasis in the Burch technique. An infrequent complication]
J L Moyano Calvo1, A Romero Díaz, A Ortiz Gamis
1Servicio de Urología, Hospital Universitario Virgen Macarena, Sevilla, España.
Archivos Espanoles De Urologia
|August 29, 2000
Summary
This case study details bladder stones forming on sutures after Burch colposuspension surgery for stress incontinence. Endoscopic stone removal was successful, preserving bladder function and continence.
Area of Science:
- Urology
- Gynecology
- Surgical Complications
Background:
- Urinary stress incontinence is often treated with surgical procedures like the Burch colposuspension.
- Nonresorbable sutures are utilized in some surgical techniques, including the Burch procedure.
Observation:
- A female patient developed irritative bladder symptoms and dyspareunia two years post-Burch colposuspension.
- Imaging and evaluation revealed the formation of bladder stones on the nonresorbable suture material.
Findings:
- Iatrogenic bladder lithiasis occurred secondary to the presence of a nonresorbable suture.
- Endoscopic calculus removal under local anesthesia was performed successfully.
- The surgical intervention preserved the patient's continence post-procedure.
Implications:
- This case highlights a rare complication of Burch colposuspension, emphasizing the potential for suture-related stone formation.
- Endoscopic management offers a minimally invasive approach for treating iatrogenic bladder lithiasis.
- Maintaining continence is achievable even after addressing suture-related complications.