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Staple Line Erosion in a Neobladder Causing Postoperative Hematuria

Erosion of metal surgical staples is a rare but described surgical complication. Staple erosion in a bladder may present with hematuria, urinary tract infection (UTI), bladder pain, or fistula. We present a 64-year-old male with a history of urothelial carcinoma treated by cystoprostatectomy with ne...

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Detalles Bibliográficos
Autores principales: Anderson, Danyon J, Kasson, Matthew, Patel, Mit, Li, Nathan, Langenstroer, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8255160/
https://www.ncbi.nlm.nih.gov/pubmed/34258115
http://dx.doi.org/10.7759/cureus.15450
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author Anderson, Danyon J
Kasson, Matthew
Patel, Mit
Li, Nathan
Langenstroer, Peter
author_facet Anderson, Danyon J
Kasson, Matthew
Patel, Mit
Li, Nathan
Langenstroer, Peter
author_sort Anderson, Danyon J
collection PubMed
description Erosion of metal surgical staples is a rare but described surgical complication. Staple erosion in a bladder may present with hematuria, urinary tract infection (UTI), bladder pain, or fistula. We present a 64-year-old male with a history of urothelial carcinoma treated by cystoprostatectomy with neobladder reconstruction. Over the next two to three years, he developed hematuria and had multiple urine cytologies suspicious for cancer. The cystoscopic evaluation revealed staple line erosion but no cancer. We believe this to be the first published case of symptomatic staple erosion in a neobladder. Clinicians should be aware that staple line erosion in a neobladder can occur and mimic malignancy recurrence.
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spelling pubmed-82551602021-07-12 Staple Line Erosion in a Neobladder Causing Postoperative Hematuria Anderson, Danyon J Kasson, Matthew Patel, Mit Li, Nathan Langenstroer, Peter Cureus Urology Erosion of metal surgical staples is a rare but described surgical complication. Staple erosion in a bladder may present with hematuria, urinary tract infection (UTI), bladder pain, or fistula. We present a 64-year-old male with a history of urothelial carcinoma treated by cystoprostatectomy with neobladder reconstruction. Over the next two to three years, he developed hematuria and had multiple urine cytologies suspicious for cancer. The cystoscopic evaluation revealed staple line erosion but no cancer. We believe this to be the first published case of symptomatic staple erosion in a neobladder. Clinicians should be aware that staple line erosion in a neobladder can occur and mimic malignancy recurrence. Cureus 2021-06-04 /pmc/articles/PMC8255160/ /pubmed/34258115 http://dx.doi.org/10.7759/cureus.15450 Text en Copyright © 2021, Anderson et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Urology
Anderson, Danyon J
Kasson, Matthew
Patel, Mit
Li, Nathan
Langenstroer, Peter
Staple Line Erosion in a Neobladder Causing Postoperative Hematuria
title Staple Line Erosion in a Neobladder Causing Postoperative Hematuria
title_full Staple Line Erosion in a Neobladder Causing Postoperative Hematuria
title_fullStr Staple Line Erosion in a Neobladder Causing Postoperative Hematuria
title_full_unstemmed Staple Line Erosion in a Neobladder Causing Postoperative Hematuria
title_short Staple Line Erosion in a Neobladder Causing Postoperative Hematuria
title_sort staple line erosion in a neobladder causing postoperative hematuria
topic Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8255160/
https://www.ncbi.nlm.nih.gov/pubmed/34258115
http://dx.doi.org/10.7759/cureus.15450
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