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

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)81-82
Number of pages2
JournalArchivio Italiano di Urologia e Andrologia
Volume89
Issue number1
DOIs
Publication statusPublished - 2017

Fingerprint

Prostatectomy
Surgical Instruments
Chronic Pain
Polymers
Pain
Mepivacaine
Robotics
Posture
Injections
Therapeutics

Keywords

  • Pain
  • Prostatectomy
  • Prostatic neoplasms

ASJC Scopus subject areas

  • Urology

Cite this

Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy : Description of a case treated by transperineal approach. / Creta, Massimiliano; Di Meo, Sergio; Buonopane, Roberto; Rocco, Bernardo; Imperatore, Vittorio.

In: Archivio Italiano di Urologia e Andrologia, Vol. 89, No. 1, 2017, p. 81-82.

Research output: Contribution to journalArticle

Creta, Massimiliano ; Di Meo, Sergio ; Buonopane, Roberto ; Rocco, Bernardo ; Imperatore, Vittorio. / Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy : Description of a case treated by transperineal approach. In: Archivio Italiano di Urologia e Andrologia. 2017 ; Vol. 89, No. 1. pp. 81-82.
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