Rupture of vesicourethral anastomosis following radical retropubic prostatectomy
AUTOR(ES)
Dall'oglio, Marcos, Srougi, Miguel, Pereira, Daniel, Nesrallah, Adriano, Andreoni, Cássio, Kauffmann, José R., Nesrallah, Luciano
FONTE
International braz j urol
DATA DE PUBLICAÇÃO
2003-06
RESUMO
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.
Documentos Relacionados
- Reducing the number of sutures for vesicourethral anastomosis in radical retropubic prostatectomy
- Cystectomy with orthotopic reconstruction following radical retropubic prostatectomy
- Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital
- Learning curve for radical retropubic prostatectomy
- Comparison of renal function after robot - assisted laparoscopic radical prostatectomy versus retropubic radical prostatectomy