Surgical Staples in Bladder Calculi after Caecocystoplasty

Abstract

An 18-year-old man presented in October 1986 with a 2day history of pain in the right testis. He had spina bifida with paraplegia. He had practised self-catheterisation for many years but began to suffer from incontinence between catheterisations due to decreasing bladder size and in January 1985 he underwent a caecocystoplasty elsewhere which cured this problem.On examination his right testis was shrunken and tethered to the scrotal skin by a sinus tract which was discharging purulent material. Abdominal X-ray showed bladder calculi containing surgical staples and other staples in the region of the vault of the bladder (Fig.). Urine culture grew Escherichiu coli sensitive to cephalosporins. He was treated with cephradine and advised to have his right testis and bladder calculi removed. At operation his right testis was excised via a scrotal incision and lithotripsy was carried out using a Storz lithotrite. Fragments of triple phosphate calculi were confirmed to contain staples. Histology of the testis showed an abscess cavity and little remaining testicular tissue.

Percutaneous retrieval of an intravesical foreign body using direct transurethral visualization: a technique applicable to small children

“…Iatrogenically introduced foreign bodies have been reported and may result from severed or retained catheter tips [1,2], the migration of urethral stents used in reconstructive urological procedures (e.g. hypospadias repair) [3] or present as bladder calculi subsequent to retained suture material or staples from previous surgery [4]. In contrast to bladder foreign bodies in adults, which can usually be retrieved endoscopically with or without urethral dilatation [1], the size of the paediatric urethra may prevent successful transurethral removal.…”

Foreign body (kidney beans) in urinary bladder: An unusual case report

“…A wide range of foreign bodies has been reported in the urinary bladder, including electrical wires, chicken bones, wooden sticks, thermometers, bullets, intrauterine contraceptive devices (IUCDs), encrusted sutures, surgical staples with stones, needles, pencils, household batteries, gauze, screws, pessaries, ribbon gauze, parts of Foley catheters, broken parts of endoscopic instruments, and knotted suprapubic catheters [ [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] ].…”