Author |
Dall'oglio, Marcos
![]() ![]() Srougi, Miguel ![]() ![]() Pereira, Daniel ![]() ![]() Nesrallah, Adriano ![]() ![]() Andreoni, Cássio ![]() ![]() Kauffmann, José R. ![]() ![]() Nesrallah, Luciano ![]() ![]() |
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 |
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Access rights | Open access ![]() |
Type | Article |
SciELO ID | S1677-55382003000300005 (statistics in SciELO) |
URI | http://repositorio.unifesp.br/handle/11600/1724 |
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