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Bladder herniation after transpubic urethroplasty.

R Lenzi, C Selli, N Stomaci

    The Journal of Urology
    |October 1, 1983
    PubMed
    Summary
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    Bladder hernias can occur after complex urethral stricture repair. Surgical mesh successfully repaired the defect in one case, suggesting a viable treatment option for this rare complication.

    Area of Science:

    • Urology
    • Surgical Complications

    Background:

    • Complex posterior urethral strictures often require reconstructive surgery.
    • Transpubic bulboprostatic anastomosis and omentoplasty are surgical techniques used for severe urethral strictures.

    Observation:

    • Two patients developed bladder hernias post-operatively after undergoing transpubic bulboprostatic anastomosis and omentoplasty.
    • One patient presented with a concomitant pubic diastasis.

    Findings:

    • Bladder hernia is a rare but potential complication following these complex urethral reconstructive procedures.
    • Successful repair of the bladder hernia was achieved using synthetic mesh in one patient.
    • The use of omentum to fill surgical dead space and pubic diastasis may be contributing factors to hernia formation.

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    Implications:

    • This case report highlights a previously undescribed complication of a specific surgical technique for urethral strictures.
    • Synthetic mesh repair offers a potential solution for managing post-operative bladder hernias.
    • Further investigation into the risk factors, such as pubic diastasis and omental use, is warranted to optimize surgical techniques and prevent complications.