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

Massimiliano Creta, Sergio Di Meo, Roberto Buonopane, Bernardo Rocco, Vittorio Imperatore
  • 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 | v.imperatore@alice.it

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.

Keywords

Pain; Prostatic neoplasms; Prostatectomy

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Submitted: 2016-09-03 14:20:48
Published: 2017-03-31 00:00:00
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Copyright (c) 2017 Massimiliano Creta, Sergio Di Meo, Roberto Buonopane, Bernardo Rocco, Vittorio Imperatore

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