title: Novel Management of Anastomotic Disruption and Persistent Hematuria Following Robotic Prostatectomy: Case Report and Review of the Literature.
abstract: Vesicourethral anastomosis leaks are not uncommon following radical prostatectomy. We present a case of a 59-year-old male who presented to our ED with hematuria, abdominal pain, and clot retention 17 days after a robotic-assisted laparoscopic prostatectomy. A 50% vesicourethral disruption was ultimately managed endoscopically and with hemostatic agents. At 9-month follow-up he is fully continent with normal erectile function. Vesicourethral leaks can typically be managed conservatively with gentle traction and prolonged catheterization. Persistent hematuria can complicate management, and hemostatic agents may allow for completely endoscopic management with minimal morbidity as seen in this case.
authors.affiliation: University of Iowa, Department of Urology, 200 Hawkins Drive, Iowa City, IA 52242, USA.
authors.forename: Charles J
authors.initials: CJ
authors.lastname: Paul
authors.affiliation: University of Iowa, Department of Urology, 200 Hawkins Drive, Iowa City, IA 52242, USA.
authors.forename: Conrad M
authors.initials: CM
authors.lastname: Tobert
authors.affiliation: University of Iowa, Department of Urology, 200 Hawkins Drive, Iowa City, IA 52242, USA.
authors.forename: Chad R
authors.initials: CR
authors.lastname: Tracy
keywords: Instrumentation; Prostate; Prostate cancer; Robotics