title: Pancreatic Fistulae after Urologic Surgery - A Single Centre Experience.
abstract: BACKGROUND
  To evaluate incidence, symptoms and management of postoperative pancreatic fistula (POPF) after urologic surgery based on our experience.
  
  
  METHODS
  Database was searched for clinically evident POPF after urologic surgery between 1998 and 2014. Fistulae were graded using the POPF classification. Clinical course of every POPF patient was evaluated.
  
  
  RESULTS
  During this time, 3,200 surgeries for renal, adrenal and retroperitoneal pathologies were performed. Twelve POPF occurred postoperatively in this series. Eight fistulae were POPF grade A, 3 POPF grade B and one POPF grade C. POPF became clinically evident after a median of 3 days (IQR 2-3). In all POPF grade A/B patients, secretion from the pancreatic fistula completely subsided under conservative therapy. In one POPF grade C patient with positive surgical margins of urothelial cancer, conservative treatment failed and the patient died due to POPF-related sepsis.
  
  
  CONCLUSIONS
  POPF is a rare complication after urologic surgery. Conservative therapy is the first choice of treatment and will be successful in the majority of cases. Pancreatic fistula after surgery of recurrent malignancy may have a poor outcome.
authors: Department of Urology, University of Mainz, Mainz, Germany.
authors: Sebastian
authors: S
authors: Nestler
authors: Andreas
authors: A
authors: Neisius
authors: Frederik
authors: F
authors: Roos
authors: Christian
authors: C
authors: Hampel
authors: Peter
authors: P
authors: Rubenwolf
authors: Wolfgang
authors: W
authors: Jäger
authors: Joachim W
authors: JW
authors: Thüroff
authors: Christian
authors: C
authors: Thomas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D012189:Retrospective Studies; D013520:Urologic Surgical Procedures / Q000009:adverse effects; D055815:Young Adult