scholarly journals A large bladder hematoma resulting from infectious hemorrhagic cystitis after pelvic reconstruction with transvaginal mesh: An unusual complication

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984670 ◽  
Author(s):  
Ing-Luen Shyu ◽  
Peng-Hui Wang ◽  
Ben-Shian Huang
Keyword(s):  
Bacterial Contamination ◽  
Hemorrhagic Cystitis ◽  
Foley Catheter ◽  
Uropathogenic Escherichia Coli ◽  
Transvaginal Mesh ◽  
Unusual Complication ◽  
Pelvic Reconstruction ◽  
Oral Antibiotics ◽  
Reconstruction Surgery ◽  
Large Hematoma

A large hematoma resulting from hemorrhagic cystitis after uncomplicated pelvic reconstruction surgery with a transvaginal mesh is rare. A 66-year-old female who underwent pelvic reconstruction with transvaginal mesh presented with acute urinary retention and hematuria on postoperative day 10. Leukocytosis, pyuria, and hematuria were noted in the emergency room. After using cystoscopy to irrigate the coagulum, there was no mesh erosion or bladder perforation on inspection. A large bladder hematoma resulting from infectious hemorrhagic cystitis was confirmed, and uropathogenic Escherichia coli was isolated. The clinical condition improved after a 1-week treatment with an indwelling Foley catheter and oral antibiotics. Careful aseptic techniques and antibiotic prophylaxis reduce bacterial contamination only for brief periods of time, and patients may still be at risk for delayed infections. The possible modalities to prevent postoperative urinary tract infection after pelvic reconstruction surgery with transvaginal mesh include shortening the indwelling Foley catheter period and administration of an additional antibiotic during catheter removal. However, the antibiotic policies for pelvic reconstruction with transvaginal mesh demand further cost analyses.

Intracranial migration of Foley catheter—an unusual complication

2003 ◽  
Vol 10 (2) ◽  
pp. 248-249 ◽  
Author(s):  
Sanjay J Pawar ◽  
Rewati Raman Sharma ◽  
Santosh D Lad
Keyword(s):  
Foley Catheter ◽  
Unusual Complication

scholarly journals The surgical effect on overactive bladder symptoms in women with pelvic organ prolapse

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ling-Ying Wu ◽  
Kuan-Hui Huang ◽  
Tsai-Hwa Yang ◽  
Hui-Shan Huang ◽  
Tzu-Shu Wang ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Overactive Bladder ◽  
Hormone Receptors ◽  
Pelvic Organ ◽  
Moderate Degree ◽  
Pelvic Reconstruction ◽  
Vaginal Tissue ◽  
Reconstruction Surgery ◽  
The Impact

AbstractThis study aimed to explore the effect of pelvic reconstruction surgery on the relation of pelvic organ prolapse (POP) and overactive bladder (OAB) and the impact of preoperative vaginal oestrogen supplement on vaginal tissue. A total of 100 postmenopausal women with symptomatic POP who underwent pelvic reconstruction surgery (laparoscopic sacrocolpopexy or transvaginal mesh) were enrolled in this study. Preoperative vaginal oestrogen was prescribed in 28 cases. The evaluation tools consisted of POP-Q, urodynamic study, Overactive Bladder Symptom Score (OABSS), and urinary NGF. Vaginal maturation index and vaginal specimens for hormone receptors study were investigated during operation to evaluate the effect of topical oestrogen. Follow-up assessments were performed at 1, 3, and 6 months after surgery. Preoperatively, 58 (58%) were POP with OAB. After reconstruction surgery, the OABSS decreased significantly (6.87 ± 0.85 vs 3.77 ± 0.61, p < 0.001) at postoperative 6 months in the group. Remarkable increasing trends of urinary NGF levels are noted till 3 months postoperatively, then decreasing to the baseline level at 6 months postoperative follow-up. Remarkable decrease of mRNA of the androgen receptor and significant higher expression of progesterone receptor (PR) were noted after use of the vaginal oestrogen cream. The severity of OAB in the POP women shows moderate degree according to OABSS. Pelvic reconstruction surgery can significantly improve the OAB symptoms. The surgery induced inflammation effect lasts for about 6 months. Short-term preoperative supplement of topical oestrogen brings alterations of the vaginal epithelium.

scholarly journals Bladder Outlet Obstruction as a Cause for Late Total Flap Failure in Pelvic Reconstruction with a VRAM

2018 ◽  
Vol 03 (02) ◽  
pp. e55-e57
Author(s):  
Michael Stein ◽  
Moein Momtazi
Keyword(s):  
Bladder Outlet Obstruction ◽  
Venous Insufficiency ◽  
Foley Catheter ◽  
Outlet Obstruction ◽  
Pelvic Reconstruction ◽  
Rectus Abdominus ◽  
Sacral Chordoma ◽  
Flap Failure ◽  
Vram Flap ◽  
Rule Out

Background A 67-year-old man presented with abrupt failure of a pedicled vertical rectus abdominus myocutaneous (VRAM) flap 13 days postoperatively. Methods The patient underwent pelvic reconstruction with a pedicled VRAM flap following sacral chordoma and abdominoperineal resection. The flap remained well perfused and viable until postoperative day 13, at which point the patient was noted to become systemically unwell with fever, chills, and abdominal pain. This clinically coincided with prompt arterial and venous insufficiency of the VRAM flap. Results Computed tomography of the abdomen was ordered to rule out a pelvic collection and revealed an inflated Foley catheter in the bulbar urethra. This was associated with marked distention of the bladder and bilateral hydronephrosis. Direct compression of the deep inferior epigastric pedicle by the bladder neck was noted. Conclusion The case highlights the importance of considering bladder outlet obstruction and subsequent distention as a cause of pedicle compression and VRAM flap failure following pelvic reconstruction.

scholarly journals Inadvertent urinary catheter placement in the ureter: A report on two cases and a literature review

2020 ◽  
Vol 80 (1) ◽  
pp. 1-5
Author(s):  
Daniel Hijazo-Gascón ◽  
Francisco Xavier Elizalde-Benito ◽  
Ignacio Quintana-Martínez ◽  
Laura Muñiz-Suárez ◽  
Agustín Asensio-Matas ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Urinary Catheter ◽  
Foley Catheter ◽  
Catheter Placement ◽  
Unusual Complication ◽  
Beta Lactamase ◽  
Balloon Inflation ◽  
Diagnostic Challenge ◽  
Extended Spectrum Beta Lactamase ◽  
Bladder Catheterization

Background: Bladder catheterization is one of the most frequent procedures in Urology, but it is not exempt from complications. Relevance: Unintentional Foley catheter placement in the ureter is a rare occurrence that can produce serious complications. Few cases are described in the literature. Case report: We present herein two cases of inadvertent Foley catheter balloon inflation in the ureter. Case 1: an 85-year-old-patient with an indwelling Foley catheter was admitted to our emergency department due to abdominal pain in the hypogastrium, dysuria, and diagnosis of septic shock from extended-spectrum beta-lactamase-producing Escherichia coli. Case 2: a 75-year-old patient underwent transurethral resection of the bladder and presented with persistent hematuria and abdominal pain in the postoperative period. Conclusion: Unintentional urinary catheter placement in the ureter is an unusual complication and a diagnostic challenge that should be suspected in the presence of abdominal pain after bladder catheterization.

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