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A large bladder hematoma resulting from infectious hemorrhagic cystitis after pelvic reconstruction with transvaginal mesh: An unusual complication.

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العنوان: A large bladder hematoma resulting from infectious hemorrhagic cystitis after pelvic reconstruction with transvaginal mesh: An unusual complication.
المؤلفون: Shyu IL; Department of Obstetrics and Gynecology, ChiMei Hospital, Tainan City., Wang PH; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei.; Department of Obstetrics and Gynecology, School of Medicine, National Yang-Ming University, Taipei.; Institute of Clinical Medicine, National Yang-Ming University, Taipei., Huang BS; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei.; Department of Obstetrics and Gynecology, School of Medicine, National Yang-Ming University, Taipei.; Institute of Clinical Medicine, National Yang-Ming University, Taipei.
المصدر: SAGE open medical case reports [SAGE Open Med Case Rep] 2019 May 02; Vol. 7, pp. 2050313X19846709. Date of Electronic Publication: 2019 May 02 (Print Publication: 2019).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: SAGE Publications Country of Publication: England NLM ID: 101638686 Publication Model: eCollection Cited Medium: Print ISSN: 2050-313X (Print) Linking ISSN: 2050313X NLM ISO Abbreviation: SAGE Open Med Case Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [London] : SAGE Publications, 2013-
مستخلص: A large hematoma resulting from hemorrhagic cystitis after uncomplicated pelvic reconstruction surgery with a transvaginal mesh is rare. A 66-year-old female who underwent pelvic reconstruction with transvaginal mesh presented with acute urinary retention and hematuria on postoperative day 10. Leukocytosis, pyuria, and hematuria were noted in the emergency room. After using cystoscopy to irrigate the coagulum, there was no mesh erosion or bladder perforation on inspection. A large bladder hematoma resulting from infectious hemorrhagic cystitis was confirmed, and uropathogenic Escherichia coli was isolated. The clinical condition improved after a 1-week treatment with an indwelling Foley catheter and oral antibiotics. Careful aseptic techniques and antibiotic prophylaxis reduce bacterial contamination only for brief periods of time, and patients may still be at risk for delayed infections. The possible modalities to prevent postoperative urinary tract infection after pelvic reconstruction surgery with transvaginal mesh include shortening the indwelling Foley catheter period and administration of an additional antibiotic during catheter removal. However, the antibiotic policies for pelvic reconstruction with transvaginal mesh demand further cost analyses.
Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
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فهرسة مساهمة: Keywords: Hemorrhagic cystitis; mid-urethral sling; pelvic reconstruction; transvaginal mesh
تواريخ الأحداث: Date Created: 20190521 Latest Revision: 20201001
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC6501478
DOI: 10.1177/2050313X19846709
PMID: 31105946
قاعدة البيانات: MEDLINE
الوصف
تدمد:2050-313X
DOI:10.1177/2050313X19846709