Gossypiboma (Retained Bladder Surgical Sponge ): A Case Report

Abstract

Introduction & Objective: It is estimated that in abdominal and pelvic surgery, foreign bodies remain in one in 1500 operations. Here we report a rare kind of retained surgical sponge in the bladder of a patient that underwent open prostatectomy. Case: The patient is a 60 years old rural man from Yasuj, which came with malodor urine with obstructive and irritative urinary symptoms. He had a history of open prostatectomy 19 months ago. Evaluation revealed, cloudy urine, negative urine culture, normal PSA and normal findings in genitourinary tract sonography. The patient underwent surgery and the bladder was opened through the previous incision. The retained sponge was removed and the patient became symptom free in post operation period. Conclusion: Retained bladder sponge may be tolerated by the patient even for a long period of time. In spite of being a foreign body the patient may only complaint for obstructive and irritative voiding symptoms, which may be common in postprostatectomic patients (bladder instability)