Intraoperative bladder perforation
occurs in 3%-9% of cases of midurethral retropubic sling procedures, for instance, according to ACOG's opinion paper.
Patients with suspected bladder perforation
or deep/extensive resection should not receive an immediate instillation, as severe complications have been reported in this setting.
The cystography revealed the presence of a foreign body in the bladder, but there was no extravasation or suspicion of bladder perforation
7% with Piranha and VersaCut morcellators, respectively; there were bladder perforations
with the VersaCut morcellator (range: 0.
has consistently been shown to be significantly more common with retropubic slings than with transobturator slings.
Laparoscopic repair of intraperitoneal bladder perforation
was first described in 1994 and since then, a few cases of such approach have been reported to treat traumatic, spontaneous and iatrogenic bladder rupture, avoiding laparotomy (1).
3 (450; 250-1000) Transperitoneal 9 Extraperitoneal 11 Lymphadenectomy (+) 7 Lymphadenectomy (-) 13 No nerve sparing 11 Nerve sparing (UL) 4 Nerve sparing (BL) 5 Simultaneous surgery Bilateral JJ catheter 1 Herniorrhaphy 2 Intraoperative complications Rectal perforation 1 Bladder perforation
1 Group 2 (n = 20) Operation time * (min) 210.
Computed tomography revealed clot and air within the bladder suggestive of a bladder perforation
There also were significantly less bladder perforation
, less mesh erosion, and less voiding dysfunction.
59) While the majority of these involved removal of bladder or renal stones, a substantial proportion were to address more serious complications, such as bowel obstruction, bladder perforation
, and transitional cell carcinoma (TCC) of the bladder.
Serious adverse events including bladder perforation
and the formation of vaginal granulation tissue occurred in 16.
1,2] To the best of our knowledge, only a few cases have been published with bladder perforation
in the scrotal hernia.
Of course, if a bladder perforation
is identified, it must be closed and a catheter placed for 10-14 days.
But in the wrong hands these synthetic mesh slings can become problematic, with bladder perforation
, vaginal mesh exposure, voiding difficulty, worsening urgency, urinary tract infections, and pain being some potential complications.
A computed tomography (CT) and cystogram did not show a bladder perforation
, but were notable for a left ischial fracture and the presence of a bullet within the bladder (Fig.