Department of Urology, IRCCS INRCA, Ancona, Italy.
Department of Urology, IRCCS INRCA, Ancona, Italy.
Urology. 2020 Apr;138:e1-e2. doi: 10.1016/j.urology.2020.01.018. Epub 2020 Jan 22.
An 86-year-old lady was referred for a 3-cm bladder stone 28 years after Burch colposuspension. Cystoscopy showed a stone over a nonabsorbable suture, eroding from the right anterolateral bladder wall. The patient underwent a transurethral holmium laser lithotripsy and thulium laser removal of the eroded bladder wall. A high index of suspicion of suture erosion should always be present in case of de novo symptoms in women who underwent colposuspension, even in the long-term period.
一位 86 岁的女士在接受 Burch 阴道悬吊术后 28 年因 3cm 的膀胱结石被转介。膀胱镜检查显示在不可吸收缝线上方有一个结石，从右侧前外侧膀胱壁侵蚀。患者接受了经尿道钬激光碎石术和铥激光切除侵蚀的膀胱壁。对于接受阴道悬吊术的女性，如果出现新的症状，即使在长期，也应始终高度怀疑缝线侵蚀。
