Complete Vesicourethral Anastomotic Disruption Following Prostatectomy
| Autor: | Daniel T. Oberlin, Justin Han, Chris M. Gonzalez, Ashima Singal |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Prostatectomy business.industry Urology medicine.medical_treatment 030232 urology & nephrology Case Report Urinary incontinence Abdominal cavity Anastomosis Surgery Conservative treatment 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine Laparoscopic Prostatectomy Robotic surgery medicine.symptom Complication business |
| Zdroj: | Journal of Endourology Case Reports |
| ISSN: | 2379-9889 |
| DOI: | 10.1089/cren.2016.0065 |
| Popis: | Vesicourethral anastomotic (VUA) disruption with bladder displacement into the abdominal cavity following robot-assisted laparoscopic prostatectomy (RALP) is an exceedingly rare complication. There have been no cited case reports after robotic surgery but case reports after open radical prostatectomy have been noted. Other complications related to VUA include bleeding with or without pelvic hematoma, bladder neck contracture, or severe stress urinary incontinence. Following radical prostatectomy, studies estimate the rate of VUA leakage to be 1.4% and no exact rate of complete disruption is known given its rarity. However, the majority of these cases are managed conservatively and rarely require reoperation. To date, there are no published studies that describe complete VUA and bladder displacement secondary to a large pelvic hematoma following prostatectomy. We report a rare case of VUA disruption after RALP successfully managed with conservative treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|