gross hematuria due to retained bladder sutures remnets after surgery

9/26/2025 September

A 22-year-old woman presented with dysuria and hematuria due to non-absorbable suture remnants from childhood bladder surge

A young woman presented to the Female Urology Clinic with complaints of occasional blood in the urine. She also complained of vague pain during urination and had a history of several urinary tract infections. Her accompanying examination also confirmed hematuria. Bladder ultrasound showed evidence of increased bladder wall thickness. She had a history of surgery at the age of 3 to 4 years but had no information about it. As a result, the patient was a candidate for cystoscopy.

At cystoscopy, a relatively long non-absorbable suture was seen, which seemed to be for antireflux surgery and ureteral orifice closure. The sutures were shortened with surgical instruments. Granulation tissue around the suture was sampled and the patient was followed up for one month.
After one month, all of the patient's irritative symptoms resolved and the patient's pathology also showed no evidence of malignancy.

Attention to the patient's surgical history and cystoscopy was key to the diagnosis and treatment of this patient.