GV Urinary retention in female after augmentation gluteoplasty (Case report)

Abstract

Case:  There are many well known complications after gluteal augmentation surgery, such as: seroma, haematoma, capsular contracture, retraction, wound dehiscence etc., but there are some due to nervous damage (especially submuscular pockets with large implants) insufficiently recognized.

         The aim of this case report is to highlight a rare complication (urinary retention) after gluteal augmentation surgery with use of solid silicone implants in case of 41 year old female. 

         Woman aged 41 with a buttock augmentation with silicon implant (submuscular pocket, 300cc) performed 2 month before at plastic surgery service in Madrid, was admitted in our service, the Clinic of Urology from Tg. Mures,  with permanent bladder catheter inserted for urinary retention.  

Outcome:  At the admission, two month after the surgery the clinical examination revealed a permeable urinary catheter with clear urine and a fistulised wound infection localized in the superior 1/3 of the incision in the intergluteal sulcus. Neither neurological or gynecological examination identified any pathology. After the removal of the catheter, next day the  abdominal ultrasonography showed a distended bladder, with a postvoid residual urine volume of 320 ml. Urodynamic   investigations   (uroflowmetry, pressure flow studies) revealed  a reduced Qmax. 7,6 ml/sec, underactive detrusor with a reduced BCI value of 60 (bladder contractility index) , requiring self intermittent catheterization, associated  with antibiotherapy and alfablocants.

Conclusions:  Buttock implantation is a frequently used plastic surgery procedure with  rather high rate of complications, some of them not well identified, unknown such as  detrusor underactivity leading to urinary retention.