Rupture of vesicourethral anastomosis following radical retropubic prostatectomy.
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.
Dall'Oglio
Marcos
M
Department of Urology, Federal University of São Paulo, UNIFESP, Paulista School of Medicine, São Paulo, SP, Brazil. marcosalloglio@uol.com.br
Srougi
Miguel
M
Pereira
Daniel
D
Nesrallah
Adriano
A
Andreoni
Cássio
C
Kauffmann
José R
JR
Nesrallah
Luciano
L