Symeonidis Evangelos N, Symeonidis Asterios, Anastasiadis Anastasios, Kaltsas Aris, Tsampoukas Georgios, Mykoniatis Ioannis, Memmos Dimitrios, Toutziaris Chrysovalantis, Dimitriadis Fotios, Vakalopoulos Ioannis, Dimitriadis Georgios
1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, "G. Gennimatas" General Hospital, Thessaloniki, Greece.
3 Department of Urology, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Cent European J Urol. 2024;77(2):334-338. doi: 10.5173/ceju.2024.20. Epub 2024 Mar 31.
Herein, we describe an unusual case of cystoscope damage during a planned laser cystolithotripsy in a 65-year-old male with a previous history of radical prostatectomy for prostate cancer and subsequent serial urethral dilations for bladder neck contracture. Upon crossing the penile urethra without exerting significant pressure, we noticed the cystoscope's distal metallic tip detachment. Therefore, we re-introduced another 22Fr cystoscope and removed the broken part with alligator forceps. Fortunately, no urethral injury or associated complications were noticed on gently re-entering the bladder. Hence, we managed to complete the endoscopic laser cystolithotripsy shortly thereafter. Review of the relevant literature revealed three similar cases. All related to the same manufacturer. Urologists should not lose sight of the fact that such an unexpected instance may tremendously impact the procedure's success, requiring vigilance and adherence to safety protocols.
在此，我们描述了一例不同寻常的病例，一名65岁男性，既往有前列腺癌根治术史，随后因膀胱颈挛缩进行了一系列尿道扩张术，在计划进行激光膀胱碎石术时膀胱镜受损。在未施加显著压力穿过阴茎尿道时，我们注意到膀胱镜远端金属尖端分离。因此，我们重新插入另一台22Fr膀胱镜，并用鳄嘴钳取出了破损部分。幸运的是，在轻轻重新进入膀胱时未发现尿道损伤或相关并发症。因此，我们随后成功完成了内镜激光膀胱碎石术。对相关文献的回顾发现了三例类似病例。所有病例均与同一制造商有关。泌尿外科医生不应忽视这样一个事实，即这种意外情况可能会极大地影响手术的成功，需要保持警惕并遵守安全规程。
