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Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy

TIAGO RIVELLO ELMOR, MAURICIO RUBINSTEIN, GUILHERME LIMA, ANTONIO CESAR CRUZ, CLOVIS FRAGA TENÓRIO PEREIRA, IRINEU RUBINSTEIN
2016 Revista do Colégio Brasileiro de Cirurgiões  
Objective: to describe our experience with a minimally invasive approach for persistent vesicourethral anastomotic leak (PVAL) after Laparoscopic Radical Prostatectomy (LRP). Methods: from 2004 to 2011, two surgeons performed LRP in 620 patients. Ten patients had PVAL, with initially indicated conservative treatment, to no avail. These patients underwent a minimally invasive operation, consisting of an endoscopically insertion of two ureteral catheters to direct urine flow, fixed to a new
more » ... ixed to a new urethral catheter. We maintained the ureteral catheters for seven days on average to complete resolution of urine leakage. The urethral catheter was removed after three weeks of surgery. Results: the correction of urine leakage occurred within a range of one to three days, in all ten patients, without complications. There were no stenosis of the bladder neck and urinary incontinence on long-term follow-up. Conclusion: the study showed that PVAL after laparoscopic radical prostatectomy can be treated endoscopically with safety and excellent results.
doi:10.1590/0100-69912016003011 pmid:27556543 fatcat:d6mqxnyhkfbe3olofjxsbs6fn4