Rupture of vesicourethral anastomosis following radical retropubic prostatectomy

Rupture of vesicourethral anastomosis following radical retropubic prostatectomy

Author Dall'oglio, Marcos Autor UNIFESP Google Scholar
Srougi, Miguel Autor UNIFESP Google Scholar
Pereira, Daniel Autor UNIFESP Google Scholar
Nesrallah, Adriano Autor UNIFESP Google Scholar
Andreoni, Cássio Autor UNIFESP Google Scholar
Kauffmann, José R. Autor UNIFESP Google Scholar
Nesrallah, Luciano Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract OBJECTIVE: Rupture of vesicourethral anastomosis following radical retropubic prostatectomy is a complication that requires immediate management. We evaluated the morbidity of this rare complication. MATERIALS AND METHODS: We analyzed retrospectively 5 cases of disruption of vesicourethral anastomosis during post-operative period in a consecutive series of 1,600 radical retropubic prostatectomies, performed by a single surgeon. RESULTS: It occurred in a ratio of 1:320 prostatectomies (0,3%). Management was conservative in all the cases with an average catheter permanence time of 28 days, being its removal preceded by cystography. Two cases were secondary to bleeding, 1 followed the change of vesical catheter and 2 by unknown causes after removing the Foley catheter. Only one patient evolved with urethral stenosis, in the period ranging from 6 to 120 months. CONCLUSION: Rupture of vesicourethral anastomosis is not related to the surgeon's experience, and conservative treatment has shown to be effective.
Keywords prostatic neoplasms
retropubic prostatectomy
anastomosis
surgical
rupture
Language English
Date 2003-06-01
Published in International braz j urol. Sociedade Brasileira de Urologia, v. 29, n. 3, p. 221-227, 2003.
ISSN 1677-5538 (Sherpa/Romeo)
Publisher Sociedade Brasileira de Urologia
Extent 221-227
Origin http://dx.doi.org/10.1590/S1677-55382003000300005
Access rights Open access Open Access
Type Article
SciELO ID S1677-55382003000300005 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/1724

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