Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach


Submitted: September 3, 2016
Accepted: November 26, 2016
Published: March 31, 2017
Abstract Views: 1283
PDF: 1791
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Authors

  • Massimiliano Creta Unità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, Napoli, Italy.
  • Sergio Di Meo Unità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, Napoli, Italy.
  • Roberto Buonopane Unità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, Napoli, Italy.
  • Bernardo Rocco UOC di Urologia, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy.
  • Vittorio Imperatore Unità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, Napoli, Italy.
The occurrence of persistent perineal pain caused by surgical clips has rarely been described after radical prostatectomy (RP). We describe the case of a patient complaining of chronic perineal pain occurred soon after robotic RP, refractory to conventional medical therapy and exacerbated by the sitting position. Pain was related to a nonabsorbable polymer clip used to secure lateral pedicles. A transpeerineal approach was used to perform an hydrodissection of the rectovesical space at the level of the surgical clip combined with local injection of mepivacaine and betametasone. The patient experienced a clinically significant reduction of pain that remained stable at three months’ follow-up.

Creta, M., Di Meo, S., Buonopane, R., Rocco, B., & Imperatore, V. (2017). Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach. Archivio Italiano Di Urologia E Andrologia, 89(1), 81–82. https://doi.org/10.4081/aiua.2017.1.81

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