Despite recent advances in treatment options, ostomy still has a special status in the management and treatment of many medical conditions (Adamou et al., 2018). A colostomy is needed to treat conditions such as bowel cancer, Crohn's disease, diverticulitis; anal, vaginal or cervical cancer; bowel incontinence; and/or Hirschsprung's disease (NHS, 2017). There are more than 1 million people living with ostomy in the United States and more than 130,000 new cases are confirmed annually (Sun et al., 2018). According to the Iranian Ostomy Association (IOA), there are approximately 30,000 ostomy patients in Iran (Bagheri et al., 2017).Living with colostomy causes negative impacts on the overall quality of life of the patients (Vonk-Klaassen et al., 2016). Ostomy formation surgeries often introduce various ostomy-related stressors, including body image disturbances and changes in the anatomy
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.
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