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Multiple intravesical linear staples identified during surveillance cystoscopy after laparoscopic nephroureterectomy
Steven M Baughman1, Wade Sexton, Jay T Bishoff
1Urology Flight, Wilford Hall Medical Center, Lackland Air Force Base, Texas 78236-5300, USA.
Abstract:
Laparoscopic nephroureterectomy has faced technical criticism secondary to the unknown effects of urine-exposed intravesical or intraureteral staples. Although not reported, staples exposed to urine theoretically create a nidus for encrustation and stone formation. We present a case of a 66-year-old man after left laparoscopic ureterectomy for ureteral malignancy. Surveillance cystoscopy at 6 months revealed a nearly complete intravesical titanium staple line without encrustation. Successful transurethral removal of all staples with standard cystoscopic graspers revealed no immediate, or delayed, sequelae.