Scheidler D M, Foster R S, Bihrle R, Scott J W, Litwiller S E
Department of Urology, Indiana University Medical Center, Indianapolis.
J Urol. 1990 Jan;143(1):133-4. doi: 10.1016/s0022-5347(17)39891-9.
We report 2 cases of symptomatic suture granuloma formation after erosion of the silk suture (used to ligate the dorsal venous complex) into the urethrovesical anastomosis. Irritative or obstructive voiding complaints, sterile pyuria or hematuria found after radical retropubic prostatectomy mandates urological evaluation, including cystoscopy to rule out anastomotic suture granuloma formation. Although erosion appears to be a rare occurrence, we recommend use of absorbable suture to control the dorsal venous complex and avoid this possible complication.
我们报告了2例丝线缝合线(用于结扎背静脉复合体)侵蚀至尿道膀胱吻合口后形成有症状的缝线肉芽肿的病例。根治性耻骨后前列腺切除术后出现刺激性或梗阻性排尿症状、无菌性脓尿或血尿,需要进行泌尿外科评估,包括膀胱镜检查以排除吻合口缝线肉芽肿的形成。尽管侵蚀似乎很少见,但我们建议使用可吸收缝线来控制背静脉复合体,以避免这种可能的并发症。