Labial Cellulitis and Suprapubic Urine Leakage after Midurethral Sling: A Rare Presentation of Unrecognized Bladder Neck Perforation

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 un...

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Bibliographic Details
Published in:Advanced biomedical research 2021-01, Vol.10 (1), p.30-30
Main Authors: Saberi, Narjes, Zargham, Mahtab, Hayrabedian, Aygineh
Format: Article
Language:English
Subjects:
Case Report
cellulitis
mid-urethral sling
urinary incontinence
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Summary: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.
ISSN:2277-9175
2277-9175
DOI:10.4103/abr.abr_288_20