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

• Main Authors: Massimiliano Creta, Sergio Di Meo, Roberto Buonopane, Bernardo Rocco, Vittorio Imperatore
• Format: Article
• Language: English
• Published: PAGEPress Publications 2017-03-01
• Series: Archivio Italiano di Urologia e Andrologia
• Subjects: Pain; Prostatic neoplasms; Prostatectomy
• Online Access: http://www.pagepressjournals.org/index.php/aiua/article/view/6267

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.