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Updated: May 28, 2026
10:19
Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
Metal fatigue causing cystoscope rupture during bladder neck incision.
Alfonso Fernandez1, Stephen E Pautler
1Division of Urology, Department of Surgery and Division of Surgical Oncology, University of Western Ontario, London, Ontario, Canada.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|October 12, 2011
Summary
A cystoscope malfunction caused a rare foreign body complication during bladder neck surgery. The instrument fragment was successfully retrieved, highlighting a previously unreported risk in urological procedures.
Area of Science:
- Urology
- Medical Device Technology
- Surgical Complications
Background:
- Modern cystoscopes are essential for urological diagnostics and therapeutics.
- While endoscope failures are known, instrument breakage causing foreign bodies is infrequently reported.
Observation:
- During a bladder neck stricture incision in a 72-year-old male post-prostatectomy, a 17-French cystoscope malfunctioned.
- The malfunction resulted in a significant instrument fragment becoming a foreign body within the patient's bladder.
Findings:
- A major cystoscope malfunction led to a retained foreign body in the bladder.
- The foreign body was successfully retrieved using a larger 22-French scope and alligator forceps.
Implications:
- This case highlights a rare but serious complication of cystoscope use: instrument breakage.
- Awareness of this risk is crucial for urologists to ensure patient safety during procedures.
- Further investigation into cystoscope durability and failure modes may be warranted.
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