Collateral damage of wandering ProTacks

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

LUTS: Lower Urinary Tract Symptoms Pub Date : 2022-10-18 DOI:10.1111/luts.12465

Deepak Batura, Iqbal Sahibzada, Wade Gayed

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引用次数: 0

Abstract

Case

A 75-year-old man presented with mixed obstructive and storage lower urinary tract symptoms (LUTS). He had undergone transurethral resection of the prostate (TURP) 5 years and laparoscopic inguinal hernia repair 20 years ago. He had a stone adherent to the bladder wall and an occlusive prostate.

Outcome

He underwent a re-do TURP and stone removal. Stone removal revealed an underlying metal coil straddling the bladder wall, which had served as a nidus for stone formation. The metal ring was a ProTack staple from previous hernia surgery, which had detached and wandered into the bladder. At follow-up after 12 weeks, the patient was asymptomatic, and his urine was sterile. Therefore, he chose to be treated conservatively for the ProTack and was started on periodic follow-up and cystoscopic surveillance. Shortly after review, he developed intestinal obstruction, which resolved spontaneously and was thought to be secondary to adhesions from other tacks that had migrated into the peritoneal cavity.

Conclusion

We have reported a case of a ProTack from a previous hernia repair migrating into the bladder and also causing intestinal obstruction. The case is very rare because of the combination of complications. Clinicians should beware of delayed complications and damage to other organs due to metallic hernia staples.

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游荡攻击的附带伤害

病例1例75岁男性，表现为混合性下尿路梗阻性和储尿性症状。5年前行经尿道前列腺切除术，20年前行腹腔镜腹股沟疝修补术。他有一块结石附着在膀胱壁上，前列腺闭塞。结果患者再次行TURP手术并取石。去除结石后，发现膀胱壁有一个金属圈，它是结石形成的中心。这个金属环是以前做疝气手术时用的ProTack钉钉，它已经脱落并进入了膀胱。12周后随访，患者无症状，尿无菌。因此，他选择保守治疗，并开始定期随访和膀胱镜监测。复查后不久，患者出现肠梗阻，肠梗阻自行消退，被认为是继发于其他粘连转移到腹膜腔。结论我们报告了一例先前疝气修复后的ProTack迁移到膀胱并引起肠梗阻的病例。由于合并并发症，这种情况非常罕见。临床医生应注意延迟并发症和损害其他器官由于金属疝钉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.