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.

Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy : Description of a case treated by transperineal approach / M. Creta, S. Di Meo, R. Buonopane, B. Rocco, V. Imperatore. - In: ARCHIVIO ITALIANO DI UROLOGIA ANDROLOGIA. - ISSN 1124-3562. - 89:1(2017), pp. 81-82. [10.4081/aiua.2017.1.81]

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

B. Rocco;
2017

Abstract

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.
Pain; Prostatectomy; Prostatic neoplasms; Aged; Humans; Male; Pain; Postoperative; Polymers; Prostatectomy; Robotic Surgical Procedures; Surgical Instruments; Perineum
Settore MED/24 - Urologia
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/876562
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