Work

Transurethral migration of vesical gossypiboma following open prostatectomy: a case report and review of the literature

Year: 2025

Type: article

Abstract: Gossypiboma refers to a retained surgical sponge within the body after a surgical procedure. It is commonly reported in the abdominal cavity and is rare in the urinary bladder (vesical gossypiboma). There are only a few reports of vesical gossypiboma in the literature, and patients often present long after the initial surgery. Features of recurrent urinary tract infections (UTIs) are common symptoms of vesical gossypiboma, but transurethral migration is a rare manifestation. We present a case of vesical gossypiboma with transurethral migration in a 64-year-old patient who underwent an open trans-vesical prostatectomy 3 months before visiting our hospital. He was repeatedly treated for recurrent UTIs until the diagnosis of vesical gossypiboma was finally confirmed using cystourethroscopy. We successfully removed the retained gauze via open bladder exploration. Gossypiboma can easily be overlooked, and we urge urologists to maintain a high index of suspicion to diagnose similar cases promptly.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf170

Authors: Kaleab H Gebreselassie, Rakeb T Mamo, Yitayew E Mohammed, Tessema B Welderufael, Kalkidan K Mekoya

Institutions: University of Gondar, Africa Health Sciences University

Language: English

Topic: Hemostasis and retained surgical items

Subfield: Hematology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000