Nephroureteral stent on suction for urethrovesical anastomotic leak after robot-assisted laparoscopic radical prostatectomy.
OBJECTIVE
Delayed urinary anastomotic leak after transperitoneal robot-assisted radical prostatectomy (RALP) is an uncommon complication. After failure of conventional measures, we successfully managed this problem using a nephroureteral stent placed on intermittent suction.


METHODS
A 62-year-old man with clinical stage T1c prostate cancer (Gleason 3 + 3) developed a persistent urinary anastomotic leak after RALP. Conventional measures, including catheter traction, passive drainage, and needle vented Foley catheter suction, failed. On postoperative day 6 a unilateral nephroureteral stent was placed on intermittent suction.


RESULTS
Placement of one nephroureteral stent on suction device immediately stopped the urinary anastomotic leakage into the peritoneal cavity.


CONCLUSIONS
In case of a persistent urinary leak after RALP that fails conservative management, a nephroureteral stent on suction may aid to stop the anastomotic leak.
Shah
Gaurang
G
Department of Urology, State University of New York, Upstate Medical University, Syracuse, New York, USA.
Vogel
Frank
F
Moinzadeh
Alireza
A