title: Nonabsorbable polymer clip as a cause of chronic perineal pain after radical prostatectomy: Description of a case treated by transperineal approach.
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.
authors.affiliation: Unità Operativa di Urologia, Buon Consiglio Fatebenefratelli Hospital, Napoli. max.creta@gmail.com.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Creta
authors.forename: Sergio
authors.initials: S
authors.lastname: Di Meo
authors.forename: Roberto
authors.initials: R
authors.lastname: Buonopane
authors.forename: Bernardo
authors.initials: B
authors.lastname: Rocco
authors.forename: Vittorio
authors.initials: V
authors.lastname: Imperatore
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000209:etiology* / Q000628:therapy; D010502:Perineum; D011108:Polymers / Q000737:chemistry; D011468:Prostatectomy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D013525:Surgical Instruments
chemical_list: D011108:Polymers