Bladder Erosion and stone formation: a rare complication of laparoscopic cervical cerclage

Cervical cerclage represents a practical approach to addressing cervical insufficiency, but it also can bring serious complications. We present an extremely rare case of bladder erosion caused by the exposure of Mersilene tape after laparoscopic cervical cerclage for 3 years, which resulted in the formation of bladder calculi.

The patient was a 35-year-old gravida 5 para 2 female with symptoms suggestive of urinary tract infections after 3 years of exposure to the Mersilene tape, including urinary frequency urinary urgency and painful micturition. The patient underwent B-ultrasound and cystoscopy showed bladder injury and bladder calculi. Then, the patient underwent laparoscopic pelvic adhesion release, removal of cervical cerclage, bladder calculi removal, and bladder repair under general anesthesia. During the follow-up, the patient has not experienced any symptoms related to the urinary and menstrual.

This case report underscores the long-term potential risks associated with exposure to the Mersilene tape, including bladder injury and the formation of bladder stones.