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CASE REPORT
Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 30

Labial cellulitis and suprapubic urine leakage after midurethral sling: A rare presentation of unrecognized bladder neck perforation


1 Department of Urology, Isfahan Kidney Transplantation Research Center, AL-Zahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
2 Isfahan Kidney Transplantation Research Center, AL-Zahra Institute Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Operating Room, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Dr. Narjes Saberi
Department of Urology, Isfahan Kidney Transplantation Research Center, AL-Zahra Research Institute, Isfahan University of Medical Sciences, Kargar Street, 1st Shahid Mahmoodreza Mahdavi Street, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/abr.abr_288_20

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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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