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[An Intravesical Foreign Body after Caesarean Section and Tissue Fixing System (TFS) Operation : Two Case Reports]
Kohei Mori1, Masahiro Yanagisawa1, Kotaro Hirai1
1The Department of Urology, National Hospital Organization Yokohama Medical Center.
Hinyokika Kiyo. Acta Urologica Japonica
|December 6, 2016
Summary
Foreign bodies can occur in the bladder following gynecological surgery, such as pelvic organ prolapse repair or Cesarean section. Suspecting bladder foreign bodies is crucial for patients with recurrent urinary tract infections post-pelvic surgery.
Area of Science:
- Urology
- Gynecology
- Surgical Complications
Background:
- Foreign bodies in the bladder are uncommon but can arise after pelvic surgeries.
- Gynecological procedures, including those for pelvic organ prolapse and Cesarean sections, may inadvertently lead to retained surgical materials.
Observation:
- Two cases are presented: a bladder anchor from a Tissue Fixation System (TFS) operation for pelvic organ prolapse and a silk-like surgical suture from a Cesarean section.
- Symptoms included urinary discomfort and recurrent urinary tract infections.
Findings:
- Transurethral lithotripsy identified a TFS anchor in one patient.
- Cystoscopy revealed a suture protruding from the bladder wall in the second patient, potentially causing infection.
Implications:
- Retained surgical materials in the bladder can cause inflammation and infection.
- Healthcare providers should consider bladder foreign bodies in patients with a history of pelvic surgery presenting with recurrent urinary tract infections.
