反覆膀胱結石次發於骨盆腔修補手術:案例報告與文獻回顧

王柏仁^1,2易志成^1,2李建達^1,2

¹國軍台中總醫院 外科部 泌尿外科 ²國防醫學院 醫學系

Vesical stone formation on non-absorbable suture after colporrhaphy surgery

Bo-Ren, Wang^1,2, Chin-Cheng, Yi^1,2, Jane-Dar, Lee^1,2

¹Division of Urology, Department of Surgery, Taichung Armed Forces General Hospital,Taichung, Taiwan ²National Defense Medical Center, Taipei, Taiwan

Abstract

We reported a case of vesical stone formation secondary to iatrogenic injury to the urinary

bladder with non-absorbable suture retention. A 69-year-old female with the hypertension

and type 2 diabetes mellitus complained of urinary urge incontinence for many years. She

ever received hysterectomy and colporrhaphy many years ago.

Physical examination revealed lower abdominal distension and tenderness. Computed

tomography scans of the abdomen disclosed one vesical stone of the left side urinary

bladder. Due to the above reason, surgical intervention with vesicolithotripsy was arranged

for her. During the procedure, the vesical stone formed on a non-absorbable suture.

Therefore, vesicolithotripsy followed by cutting suture with laser was performed smoothly.

The patient’s post-operative course was uneventful. Foreign body of the urinary bladder

usually acts as a nidus of the vesical stone formation. Iatrogenic bladder injury secondary to

urological or gynecological procedures was rare. This case highlights the importance of

remaining clinically vigilant to check cystoscope post pelvic organ prolapse procedure is

warranted.