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[Recurrent bladder calculi after colpocystopexy].

P Héritier1, F Levigne, M P Oussoff

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Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|January 1, 1990
PubMed
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Bladder stones can form from non-absorbable sutures used in urethro-vesical suspension surgery. Recurrent stone formation occurred after initial treatment, necessitating further transurethral removal.

Area of Science:

  • Urology
  • Surgical Complications
  • Biomaterials

Background:

  • Urethro-vesical suspension is a surgical procedure to treat stress urinary incontinence.
  • Non-absorbable suture materials are sometimes used in pelvic reconstructive surgery.
  • Foreign bodies in the urinary tract can serve as niduses for stone formation.

Observation:

  • A patient developed bladder stones composed of suture material after urethro-vesical suspension.
  • The initial surgical treatment for the stones was successful.
  • Recurrent bladder stones were subsequently identified in the same patient.

Findings:

  • The recurrent bladder stones were also attributed to the non-absorbable suture material.
  • Transurethral removal of the new stones was performed.

Related Experiment Videos

  • The patient achieved a good clinical outcome two years post-transurethral removal.
  • Implications:

    • Non-absorbable suture material can lead to long-term complications like recurrent bladder stone formation.
    • Careful material selection and surgical technique are crucial in procedures like urethro-vesical suspension.
    • Transurethral lithotripsy is an effective treatment for recurrent bladder stones secondary to foreign bodies.