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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Labial Cellulitis and Suprapubic Urine Leakage after Midurethral Sling: A Rare Presentation of Unrecognized Bladder

Narjes Saberi1, Mahtab Zargham2, Aygineh Hayrabedian3

  • 1Department of Urology, Isfahan Kidney Transplantation Research Center, AL-Zahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Advanced Biomedical Research
|December 15, 2021
PubMed

Retropubic midurethral sling (MUS) is safe and effective surgery used for the treatment of stress urinary incontinence in women. Bladder neck perforation is a rare intraoperative complication. If this complication missed in intraoperative cystoscopy may have serious morbidity. A 52-year-old woman underwent a retropubic MUS. She presented with early and unusual symptoms such as suprapubic and labial cellulitis and urine leakage through the suprapubic incision 1 week after surgery which was due to a missed bladder neck perforation during surgery. In cystoscopy after MUS revealed mesh traversing the bladder neck and it was removed. The missed bladder perforation may have early and unusual symptoms and cystoscopy must be done more carefully and obsessively in patients with risk factors.

Keywords:
Cellulitismid-urethral slingurinary incontinence

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