A Rare Cause of Overactive Bladder–Like Symptoms: Late Intravesical Suture Extrusion and Bladder Stone Formation
35ᵗʰ Annual Congress of the European Society for Gynaecological Endoscopy, Krakow, Polonya, 4 - 07 Ekim 2026, ss.1030, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Krakow
- Basıldığı Ülke: Polonya
- Sayfa Sayıları: ss.1030
- Ankara Üniversitesi Adresli: Evet
Özet
Background
To present a rare case of delayed intravesical non-absorbable suture extrusion with secondary bladder stone formation, manifesting as long-standing overactive bladder–like symptoms after previous pelvic surgery.
Methods A 67-year-old woman with a history of total abdominal hysterectomy and bilateral salpingooophorectomy for uterine myoma 14 years earlier was evaluated for persistent lower urinary tract symptoms. She had experienced dysuria, urinary frequency, urgency, and nocturia for 10 years, without hematuria. Overactive bladder was initially considered; however, due to her age, history of pelvic surgery, and refractory symptoms, diagnostic cystoscopy was performed.
Results Cystoscopy revealed an approximately 5 cm bladder stone, suspected to have developed secondary to intravesical extrusion of a non-absorbable suture. Detrusor trabeculation was also observed. The suture was divided using endoscopic scissors, and the stone with the associated suture material was removed transurethrally. At the 3-month follow-up, dysuria, urinary frequency, and urgency had markedly improved. Persistent nocturia was managed with vaginal estrogen and beta-3 agonist therapy.
Conclusions Delayed intravesical suture extrusion with secondary bladder stone formation is a rare but important differential diagnosis in patients presenting with persistent or severe overactive bladder–like symptoms after pelvic surgery. Absence of hematuria does not exclude an intravesical foreign body. Cystoscopic evaluation should be considered in selected patients with refractory lower urinary tract symptoms, particularly those with a history of pelvic surgery, as it may provide both diagnosis and definitive treatment.