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Iatrogenic bladder stone formation on absorbable suture 3-years after radical prostatectomy
1Service d'Urologie, Centre Hospitalier, Princesse Grace de Monaco, Monaco. cursio@unice.fr
Summary
Bladder stones rarely form on absorbable sutures. A man developed a large vesical calculus on suture material three years after prostate surgery, requiring endoscopic removal.
Area of Science:
- Urology
- Surgical Complications
- Biomaterials
Background:
- Absorbable sutures are commonly used in urological procedures, including radical prostatectomy.
- The long-term behavior and potential complications of retained suture material are of clinical interest.
Observation:
- A rare case of vesical calculi (bladder stone) formation was observed.
- The calculus developed on an absorbable suture remnant.
- The patient was a 68-year-old male, 3 years post-radical prostatectomy.
Findings:
- Successful endoscopic lithotripsy was performed to remove the large bladder stone.
- The underlying absorbable suture was identified as the nidus for stone formation.
- Suture removal was achieved during the lithotripsy procedure.
Implications:
- This case highlights a rare but significant complication of absorbable sutures in the urinary tract.
- It underscores the importance of considering suture material as a potential factor in late-onset bladder stone formation.
- Further vigilance and potentially modified suture choices may be warranted in specific urological surgeries.