Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach
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 sit...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
PAGEPress Publications
2017-03-01
|
Series: | Archivio Italiano di Urologia e Andrologia |
Subjects: | |
Online Access: | http://www.pagepressjournals.org/index.php/aiua/article/view/6267 |
id |
doaj-b203adcd48fb44808ba9dc52365ae8ec |
---|---|
record_format |
Article |
spelling |
doaj-b203adcd48fb44808ba9dc52365ae8ec2020-11-25T03:04:00ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972017-03-01891818210.4081/aiua.2017.1.815230Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approachMassimiliano Creta0Sergio Di Meo1Roberto Buonopane2Bernardo Rocco3Vittorio Imperatore4Unità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, NapoliUnità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, NapoliUnità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, NapoliUOC di Urologia, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, MilanoUnità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, NapoliThe 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.http://www.pagepressjournals.org/index.php/aiua/article/view/6267PainProstatic neoplasmsProstatectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Massimiliano Creta Sergio Di Meo Roberto Buonopane Bernardo Rocco Vittorio Imperatore |
spellingShingle |
Massimiliano Creta Sergio Di Meo Roberto Buonopane Bernardo Rocco Vittorio Imperatore 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 Pain Prostatic neoplasms Prostatectomy |
author_facet |
Massimiliano Creta Sergio Di Meo Roberto Buonopane Bernardo Rocco Vittorio Imperatore |
author_sort |
Massimiliano Creta |
title |
Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach |
title_short |
Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach |
title_full |
Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach |
title_fullStr |
Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach |
title_full_unstemmed |
Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach |
title_sort |
nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: description of a case treated by transperineal approach |
publisher |
PAGEPress Publications |
series |
Archivio Italiano di Urologia e Andrologia |
issn |
1124-3562 2282-4197 |
publishDate |
2017-03-01 |
description |
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. |
topic |
Pain Prostatic neoplasms Prostatectomy |
url |
http://www.pagepressjournals.org/index.php/aiua/article/view/6267 |
work_keys_str_mv |
AT massimilianocreta nonabsorbablepolymerclipasacauseofchronicperinealpainafterradicalprostatectomydescriptionofacasetreatedbytransperinealapproach AT sergiodimeo nonabsorbablepolymerclipasacauseofchronicperinealpainafterradicalprostatectomydescriptionofacasetreatedbytransperinealapproach AT robertobuonopane nonabsorbablepolymerclipasacauseofchronicperinealpainafterradicalprostatectomydescriptionofacasetreatedbytransperinealapproach AT bernardorocco nonabsorbablepolymerclipasacauseofchronicperinealpainafterradicalprostatectomydescriptionofacasetreatedbytransperinealapproach AT vittorioimperatore nonabsorbablepolymerclipasacauseofchronicperinealpainafterradicalprostatectomydescriptionofacasetreatedbytransperinealapproach |
_version_ |
1724683396282580992 |