Pelvic Hardware Eroding Into the Bladder: A Rare Case Presentation of Gross Hematuria, Bladder Pain, and Refractory Lower Urinary Tract Symptoms

Kristen E Gurtner; Jonathan A Israel; Michael R Pinsky; James F Mautner; June B Miguez; Daniel J Canter

doi:10.1016/j.urology.2017.01.011

Pelvic Hardware Eroding Into the Bladder: A Rare Case Presentation of Gross Hematuria, Bladder Pain, and Refractory Lower Urinary Tract Symptoms

Urology. 2017 Apr:102:e1-e2. doi: 10.1016/j.urology.2017.01.011. Epub 2017 Jan 16.

Authors

Kristen E Gurtner¹, Jonathan A Israel², Michael R Pinsky², James F Mautner², June B Miguez², Daniel J Canter²

Affiliations

¹ Ochsner Health System, New Orleans, LA. Electronic address: kristen.gurtner@ochsner.org.
² Ochsner Health System, New Orleans, LA.

PMID: 28104419
DOI: 10.1016/j.urology.2017.01.011

Abstract

We present a 60-year-old man who presented with gross hematuria, refractory lower urinary tract symptoms, and increasing bladder pain for a duration of 3 months. The patient had a history of a motorcycle accident and pelvic fracture requiring an extensive pelvic open reduction and internal fixation. During evaluation, the patient was found to have an orthopedic screw from his hardware eroding through the left lateral wall of his bladder and irritating his trigone. The patient underwent pelvic exploration with open cystotomy and hardware removal with the orthopedic service. His postoperative course was uneventful, and the patient's symptoms completely resolved.