Endoscopic Management of Mersilene Tape Cerclage Bladder Perforation

Edell H1, Kung R1, Herschorn S2, Lee P1

Research Type

Clinical

Abstract Category

Female Lower Urinary Tract Symptoms (LUTS) / Voiding Dysfunction

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Abstract 307
Surgical Videos - Urogynaecology and Pain
Scientific Podium Video Session 37
Friday 29th September 2023
17:12 - 17:21
Room 104AB
Female Surgery Pelvic Floor
1. Division of Urogynecology, Dept of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada, 2. Division of Urology, Dept of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Presenter
H

Humara Edell
Division of Urogynecology, Dept of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Links

Abstract

Introduction 
This video presents a rare clinical case of a mersilene tape cerclage bladder perforation. The patient presented to the care of a urogynecologist for the work-up of gross hematuria. Fifteen years prior, she had undergone a radical trachelectomy for cervical cancer with insertion of cerclage.
Design 
The clinical case, review of relevant literature, management approach, and endoscopic (cystoscopic and laparoscopic) steps to the cerclage removal are presented.
Results 
By use of operative cystoscopy and laparoscopy, a minimally invasive method of cerclage removal from the bladder was successfully performed as a joint case between Urogynecology and Urology.
Conclusion 
In women with a cervical cerclage, consider bladder perforation as a cause of lower urinary tract symptoms, such as hematuria.
References 
  1. Massengill JC, Baker TM, Von Pechmann WS et al. Commonalities of cerclage-related genitourinary fistulas. Female Pelvic Med Reconstr Surg. 2012; 18: 362-365
  2. Ruan JM, Adams SR, Carpinito G et al. Bladder calculus presenting as recurrent urinary tract infections: a late complication of cervical cerclage placement: a case report. J Reprod Med. 2011; 56: 172-174
  3. Tulandi T, Eiley D, Abenhaim H, Ziegler C. Complete erosion of abdominal cerclage into the bladder. JOGC Case Reports. 2021 April 16; 43(9):P1083-1085.
Disclosures
Funding NONE Clinical Trial No Subjects None
Citation

Continence 7S1 (2023) 101024
DOI: 10.1016/j.cont.2023.101024

20/11/2024 13:55:47