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[Bladder stone secondary to prolene suture after gynecologic surgery].
Mustafa Sungur1, Selahattin Caliskan2, Utku Lokman3
1Hitit University, Erol Olcok Training and Research Hospital, Department of Urology, Corum, Turkey.
Urologiia (Moscow, Russia : 1999)
|December 22, 2018
Summary
Bladder stones can form around foreign objects like surgical sutures, particularly after gynecologic surgery. Prompt evaluation of lower urinary tract symptoms in patients with a history of pelvic surgery is crucial for diagnosing and managing these conditions.
Area of Science:
- Urology
- Gynecology
Background:
- Bladder stones (vesical calculi) are often associated with bladder outlet obstruction, predominantly in older men.
- Risk factors include urinary tract infections, anatomical abnormalities, and the presence of foreign bodies within the urinary tract.
Observation:
- This paper details a case of bladder stone formation secondary to a non-absorbable surgical suture.
- The suture was utilized during gynecologic surgery four years prior to the stone's detection.
Findings:
- Endoscopic treatment successfully managed the bladder stone.
- The case highlights the potential for retained surgical foreign bodies to act as a nucleus for stone development.
Implications:
- Patients with a history of pelvic surgery presenting with lower urinary tract symptoms (dysuria, voiding difficulties, hematuria) require thorough evaluation for foreign body-associated bladder disorders.
- This underscores the importance of considering gynecological surgical history in the differential diagnosis of bladder stones.
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