Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy

Detalhes bibliográficos
Autor(a) principal: ELMOR,TIAGO RIVELLO
Data de Publicação: 2016
Outros Autores: RUBINSTEIN,MAURICIO, LIMA,GUILHERME, CRUZ,ANTONIO CESAR, PEREIRA,CLOVIS FRAGA TENÓRIO, RUBINSTEIN,IRINEU
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000300185
Resumo: ABSTRACT 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 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.
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spelling Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomyProstatectomy. Urinary Fistula. AnastomosisSurgical. Minimally Invasive Surgical Procedures. Prostatic Neoplasms.ABSTRACT 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 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.Colégio Brasileiro de Cirurgiões2016-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000300185Revista do Colégio Brasileiro de Cirurgiões v.43 n.3 2016reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912016003011info:eu-repo/semantics/openAccessELMOR,TIAGO RIVELLORUBINSTEIN,MAURICIOLIMA,GUILHERMECRUZ,ANTONIO CESARPEREIRA,CLOVIS FRAGA TENÓRIORUBINSTEIN,IRINEUeng2016-08-17T00:00:00Zoai:scielo:S0100-69912016000300185Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2016-08-17T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
title Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
spellingShingle Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
ELMOR,TIAGO RIVELLO
Prostatectomy. Urinary Fistula. Anastomosis
Surgical. Minimally Invasive Surgical Procedures. Prostatic Neoplasms.
title_short Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
title_full Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
title_fullStr Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
title_full_unstemmed Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
title_sort Minimally invasive treatment of vesicourethral leak after laparoscopic radical prostatectomy
author ELMOR,TIAGO RIVELLO
author_facet ELMOR,TIAGO RIVELLO
RUBINSTEIN,MAURICIO
LIMA,GUILHERME
CRUZ,ANTONIO CESAR
PEREIRA,CLOVIS FRAGA TENÓRIO
RUBINSTEIN,IRINEU
author_role author
author2 RUBINSTEIN,MAURICIO
LIMA,GUILHERME
CRUZ,ANTONIO CESAR
PEREIRA,CLOVIS FRAGA TENÓRIO
RUBINSTEIN,IRINEU
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv ELMOR,TIAGO RIVELLO
RUBINSTEIN,MAURICIO
LIMA,GUILHERME
CRUZ,ANTONIO CESAR
PEREIRA,CLOVIS FRAGA TENÓRIO
RUBINSTEIN,IRINEU
dc.subject.por.fl_str_mv Prostatectomy. Urinary Fistula. Anastomosis
Surgical. Minimally Invasive Surgical Procedures. Prostatic Neoplasms.
topic Prostatectomy. Urinary Fistula. Anastomosis
Surgical. Minimally Invasive Surgical Procedures. Prostatic Neoplasms.
description ABSTRACT 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 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.
publishDate 2016
dc.date.none.fl_str_mv 2016-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000300185
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000300185
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-69912016003011
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.43 n.3 2016
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
instacron:CBC
instname_str Colégio Brasileiro de Cirurgiões (CBC)
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institution CBC
reponame_str Revista do Colégio Brasileiro de Cirurgiões
collection Revista do Colégio Brasileiro de Cirurgiões
repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
repository.mail.fl_str_mv ||revistacbc@cbc.org.br
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