Rupture of vesicourethral anastomosis following radical retropubic prostatectomy
Int. braz. j. urol
;
29(3): 221-227, May-Jun. 2003. ilus, tab
Article
in English
| LILACS
| ID: lil-364668
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 ANDMETHODS:
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 1320 prostatectomies (0,3 percent). 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.
Full text:
Available
Index:
LILACS (Americas)
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2003
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Federal University of São Paulo/BR
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