Management of prolonged urinary leakage at the urethro-vesical anastomosis.
Urinary leakage at the urethrovesical anastomosis is a rare but troublesome complication after radical prostatectomy. Usually, the anastomosis is almost watertight when tested during the operation and small leakages typically seal off in a few days. We describe 3 cases with postoperative urinary leakage where we have utilized a simple procedure of replacing the standard Foley catheter with another catheter with extra side fenestrations close to the anastomosis. Side fenestrations provide efficient drainage at the anastomosis area leading to a rapid resolution of the leakage. The method described represents an effective and low-risk solution to a potentially harmful complication.
Kylmälä
Timo
T
Department of Surgery, Tampere University Hospital, Tampere, Finland. timo.kylmala@uta.fi
Kaipia
Antti
A
Matikainen
Mika
M
D000368:Aged; D000714:Anastomosis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014546:Urinary Catheterization / Q000295:instrumentation*; D014556:Urine