A simple Trick to recover a partial rupture of vesicourethral anastomosis
Partial Rupture of vesicourethral anastomosis following laparoscopic radical prostatectomy is a complication that requires immediate management. We evaluated the morbidity of this rare complication
Presentation two cases of managing postoperative urine leakage with a simple trick
MATERIAL AND METHODS:
We analyzed retrospectively 2 cases of partial disruption of vesicourethral anastomosis during post-operative period in a consecutive series of 210 laparoscopic radical prostatectomy, performed by a single surgeon.
Urine leakage started after 1 and 2 days postoperatively manifested by hematuria and spasms. Management was conservative in all two cases with a catheter permanence time 18 and 22 days. One case was secondary to bleeding with pelvic hematoma, the other case was secondary to traction accidental to the cateter.
Leakage stopped with only fix of the vesical catheter with a patch sticker upon the catheter without inflating baloon to avoid pressure on the bladder neck area where you have the rupture
we evaluated patients in the period ranging from 6 to 12 months. Nobody of two patients evolved with urethral stenosis. Moreover the continence was complete for one patient; the other use one pad to protection. Moreover the continence was complete for one patient; the other use one pad to protection. About the sexual potency the surgery was not nerve sparing and the age of patients was 72 and 71 years.
Rupture of vesicourethral anastomosis is not related to the surgeon’s experience, and conservative treatment has shown to be effective