title: Rupture of vesicourethral anastomosis following radical retropubic prostatectomy.
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.
  
  
  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.
  
  
  CONCLUSIONS
  Rupture of vesicourethral anastomosis is not related to the surgeon's experience, and conservative treatment has shown to be effective.
authors.affiliation: Department of Urology, Federal University of São Paulo, UNIFESP, Paulista School of Medicine, São Paulo, SP, Brazil. marcosalloglio@uol.com.br
authors.forename: Marcos
authors.initials: M
authors.lastname: Dall'Oglio
authors.forename: Miguel
authors.initials: M
authors.lastname: Srougi
authors.forename: Daniel
authors.initials: D
authors.lastname: Pereira
authors.forename: Adriano
authors.initials: A
authors.lastname: Nesrallah
authors.forename: Cássio
authors.initials: C
authors.lastname: Andreoni
authors.forename: José R
authors.initials: JR
authors.lastname: Kauffmann
authors.forename: Luciano
authors.initials: L
authors.lastname: Nesrallah