Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Staple Line Erosion in a Neobladder Causing Postoperative Hematuria. Cureus 2021 Jun;13(6):e15450

Date

07/15/2021

Pubmed ID

34258115

Pubmed Central ID

PMC8255160

DOI

10.7759/cureus.15450

Abstract

Erosion of metal surgical staples is a rare but described surgical complication. Staple erosion in a bladder may present with hematuria, urinary tract infection (UTI), bladder pain, or fistula. We present a 64-year-old male with a history of urothelial carcinoma treated by cystoprostatectomy with neobladder reconstruction. Over the next two to three years, he developed hematuria and had multiple urine cytologies suspicious for cancer. The cystoscopic evaluation revealed staple line erosion but no cancer. We believe this to be the first published case of symptomatic staple erosion in a neobladder. Clinicians should be aware that staple line erosion in a neobladder can occur and mimic malignancy recurrence.

Author List

Anderson DJ, Kasson M, Patel M, Li N, Langenstroer P

Author

Peter Langenstroer MD Professor in the Urologic Surgery department at Medical College of Wisconsin