Rupture of vesicourethral anastomosis following radical retropubic prostatectomy

Rupture of vesicourethral anastomosis following radical retropubic prostatectomy

Autor 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
Instituição Universidade Federal de São Paulo (UNIFESP)
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.
Palavra-chave prostatic neoplasms
retropubic prostatectomy
anastomosis
surgical
rupture
Idioma Inglês
Data de publicação 2003-06-01
Publicado em International braz j urol. Sociedade Brasileira de Urologia, v. 29, n. 3, p. 221-227, 2003.
ISSN 1677-5538 (Sherpa/Romeo)
Publicador Sociedade Brasileira de Urologia
Extensão 221-227
Fonte http://dx.doi.org/10.1590/S1677-55382003000300005
Direito de acesso Acesso aberto Open Access
Tipo Artigo
SciELO S1677-55382003000300005 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/1724

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