Two cases of bladder injury caused by laparoscopic sacrocolpopexy in patients with a history of total hysterectomy

Abstract

  Laparoscopic sacrocolpopexy (LSC) is useful for pelvic organ prolapse as a laparoscopic mesh surgery, with a low incidence of recurrence of pelvic organ prolapse. Our hospital introduced LSC for patients with pelvic organ prolapse in 2018.

  Since then, we have encountered 2 cases of bladder injury in patients with a past history of total hysterectomy. The bladder injury occurred when the anterior vaginal wall was separated from the bladder in each case. Fortunately, the bladder injury could be repaired laparoscopically with no after-effects.

  Some reports have suggested that bladder injury may occur as a complication of LSC, but to date, there have been no Japanese reports of patients with a past history of total hysterectomy. Since medical facilities that have recently introduced LSC, such as our hospital, may have a high likelihood to treat similar patients, we report these two cases with a discussion based on the literature.