Bakelite beak retrieval: a case report of a simple strategy using suture material

Abstract Background The detachment of a resectoscope sheath tip during transurethral prostate resection can lead to the troubling issue of an iatrogenic-retained foreign body if not promptly identified. Various endoscopic techniques designed to prevent the necessity for open surgery are well documen...

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Main Authors: Daniel Xavier Lima, Claudinei Tavares Pereira, Valdinei Oliveira Rocha
Format: Article
Language:English
Published: SpringerOpen 2024-12-01
Series:African Journal of Urology
Subjects:
Online Access:https://doi.org/10.1186/s12301-024-00466-7
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author Daniel Xavier Lima
Claudinei Tavares Pereira
Valdinei Oliveira Rocha
author_facet Daniel Xavier Lima
Claudinei Tavares Pereira
Valdinei Oliveira Rocha
author_sort Daniel Xavier Lima
collection DOAJ
description Abstract Background The detachment of a resectoscope sheath tip during transurethral prostate resection can lead to the troubling issue of an iatrogenic-retained foreign body if not promptly identified. Various endoscopic techniques designed to prevent the necessity for open surgery are well documented in the literature. However, most of these strategies involve considerable cost or require equipment that may not always be readily available. Here, we describe a novel and simple technique for removal that does not require expensive materials. Case presentation The tip of a standard Storz 26 Fr continuous flow resectoscope inner sheath was successfully retrieved using a 2–0 polypropylene thread and a rigid cystoscope during a prostate resection procedure to treat benign hyperplasia of the gland. Addressing surgical complications, especially the removal of foreign bodies from the bladder, is often challenging, particularly when technical resources are limited. Various approaches for removing a detached resectoscope tip have been described, indicating that none offer a perfect solution. To our knowledge, this is the first report detailing the effective use of a simple surgical suture and endoscopic forceps in conjunction with a rigid cystoscope for removing a foreign body from the bladder. Conclusions The technique described here may be considered a safe, cost-effective, and relatively straightforward procedure that could be beneficial to urological surgeons, particularly when working under suboptimal conditions.
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spelling doaj-art-abb6c7ad19974168810c5e4b020218c52025-01-05T12:34:29ZengSpringerOpenAfrican Journal of Urology1961-99872024-12-013011310.1186/s12301-024-00466-7Bakelite beak retrieval: a case report of a simple strategy using suture materialDaniel Xavier Lima0Claudinei Tavares Pereira1Valdinei Oliveira Rocha2Biocor Instituto Rede D’OrBiocor Instituto Rede D’OrBiocor Instituto Rede D’OrAbstract Background The detachment of a resectoscope sheath tip during transurethral prostate resection can lead to the troubling issue of an iatrogenic-retained foreign body if not promptly identified. Various endoscopic techniques designed to prevent the necessity for open surgery are well documented in the literature. However, most of these strategies involve considerable cost or require equipment that may not always be readily available. Here, we describe a novel and simple technique for removal that does not require expensive materials. Case presentation The tip of a standard Storz 26 Fr continuous flow resectoscope inner sheath was successfully retrieved using a 2–0 polypropylene thread and a rigid cystoscope during a prostate resection procedure to treat benign hyperplasia of the gland. Addressing surgical complications, especially the removal of foreign bodies from the bladder, is often challenging, particularly when technical resources are limited. Various approaches for removing a detached resectoscope tip have been described, indicating that none offer a perfect solution. To our knowledge, this is the first report detailing the effective use of a simple surgical suture and endoscopic forceps in conjunction with a rigid cystoscope for removing a foreign body from the bladder. Conclusions The technique described here may be considered a safe, cost-effective, and relatively straightforward procedure that could be beneficial to urological surgeons, particularly when working under suboptimal conditions.https://doi.org/10.1186/s12301-024-00466-7BladderEndoscopesIntraoperative complicationsTURP
spellingShingle Daniel Xavier Lima
Claudinei Tavares Pereira
Valdinei Oliveira Rocha
Bakelite beak retrieval: a case report of a simple strategy using suture material
African Journal of Urology
Bladder
Endoscopes
Intraoperative complications
TURP
title Bakelite beak retrieval: a case report of a simple strategy using suture material
title_full Bakelite beak retrieval: a case report of a simple strategy using suture material
title_fullStr Bakelite beak retrieval: a case report of a simple strategy using suture material
title_full_unstemmed Bakelite beak retrieval: a case report of a simple strategy using suture material
title_short Bakelite beak retrieval: a case report of a simple strategy using suture material
title_sort bakelite beak retrieval a case report of a simple strategy using suture material
topic Bladder
Endoscopes
Intraoperative complications
TURP
url https://doi.org/10.1186/s12301-024-00466-7
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