Recurrent non-absorbable suture erosion into the bladder after a Pereyra neck suspension

Abstract

Delayed migration of sutures into the bladder after colposuspension procedures have been well documented in the literature. Biyani and Upsdell (1998) published a case report of late migration of the suture occurring 7 years after a Stamey endoscopic bladder neck suspension. Mandikandan et al. (2004) presented a case of intravesical foreign body granuloma post-Burch colposuspension. There are other reports of similar complications after bladder or pelvic surgery for incontinence. Most patients presented with lower urinary tract infection-like symptoms. The suture erosion and calculi formation were diagnosed by endoscopic assessment of the bladder. However, recurrent suture erosion case reports over a period of time are rare.

Literature search revealed only one particular case report by Cardozo (1997) describing recurrent suture erosion following a Stamey-type endoscopic bladder neck suspension. This patient presented over a period of 2 years following the procedure.

We are presenting here a case of recurrent suture erosion over even a longer period of time, 3 years and 8 years after a Pereyra bladder neck suspension procedure.