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Korean Journal of Obstetrics & Gynecology 2009;52(10):1075-1078.
Published online October 1, 2009.
An unusual foreign body in the bladder 5 years after a laparoscopic burch colposuspension.
Ho Sun Chang, Kyung Jin Hwang, Ho Jin Choi, Hee Jung Cho, Il Dong Kim
Department of Obstetrics and Gynecology, Grace Women's Hospital, Koyang, Korea. kimid@hanmail.net
Stress urinary incontinence is the predominant symptom in young and middle-aged women. Stress urinary incontinence is not a life-threatening disease but can lead to discomfort, which can also limit the social and sexual activities of women. Lately TOT operation is performed in most cases of stress urinary incontinence. But Burch colposuspension had been one of successful operations for genuine stress incontinence until TOT procedure was performed. Burch colposuspension has significant morbidity such as bleeding, infection and wound hematoma, and subsequent complications including voiding difficulty, de novo detrusor instability, recurrent urinary tract infection and uterovaginal prolapse. In this case, Delayed migration of the suture and bolster after an endoscopic Burch colposuspension across tissue planes, with subsequent erosion into the bladder, is uncommon. We report an unusual complication 5 years after Burch operation. It was an intravesical foreign body granuloma caused by suture material.
Key Words: Laparoscopic Burch colposuspension, Complication, Intravesical foreign body
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