Migration of endotacker into the bladder 7 years after laparoscopic retroperitoneal burch application

Abstract

Laparoscopy began to be used widely since the second half of 1990s as an alternative to laparotomy or vaginal approaches in incontinence and pelvic diseases in women, based on its claimed better success rates. Injuries were reported in the bladder, gastrointestinal system and the entry of the Verress cannula in early and late laparoscopic applications. De-novo urging, voiding dysfunctions, marked recurrences and surgical inefficiencies were observed in 5-year follow-ups after laparoscopic incontinence surgery. Although tension-free midurethral sling operations replaced open laparoscopic colposuspensions nowadays, laparoscopic colposuspension is still preferred in cases where simultaneous laparoscopic paravaginal repair or sacrocolpopexy is considered or where synthetic graft implantation is contraindicated. Moreover, meshes and endotackers are still frequently used in many laparoscopic applications in various clinics. The migration of the tacker used in mesh fixation in a patient where retroperitoneal laparoscopic Burch was performed 7 years ago due to stress urinary incontinence and the extraction of the ossified tacker from the bladder will be presented.

Migrated Intravesical Foreign Bodies: A Five Year Review

“…Apart from types of foreign bodies reported in this study (needle, bullet, electric wire, IUCD), a variety of other objects have been reported to migrate into the urinary bladder from the surrounding pelvic organs, including vaginal pessary, artificial urinary sphincter, prosthetic slings and TVT tapes, nonabsorbable sutures and tacks used in Stamey procedures and Burch colposuspension, surgical gauze and orthopaedic screws and wires [1,2,[4][5][6]. Even a major group of self-inflicted foreign bodies which were actually inserted in distal and bulbar urethra, further migrate into bladder by involuntary prerineal muscle contaction and could not be retrieved by the patient itself.…”

Re: Bilateral isolated epididymal agenesis in a 32 year old man

“…In last issue of the Journal, Badr, et al ( 1 ) described a case report of 32 years old otherwise healthy man with bilateral epididymal agenesis. In medicine, agenesis refers to the failure of an organ to develop during embryonal time due to the absence of primordial tissue.…”

Letter to the editor re: ‘A rare finding of spiral tacks in bladder and an innovative method of removal’

“…2 Salvarci et al have recently reported a case of a migrated bladder staple 7 years following a laparoscopic colposuspension. 3 I reported a case in 2014 that presented 12 years following laparoscopic Burch colposuspension. 4 We employed a combined suprapubic and laparoscopic approach with holmium laser excision to achieve staple removal.…”

“…2 Salvarci et al have recently reported a case of a migrated bladder staple 7 years following a laparoscopic colposuspension. 3…”