Rupture of vesicourethral anastomosis following radical retropubic prostatectomy

• Autor(a) principal: Dall'oglio, Marcos [UNIFESP]
• Data de Publicação: 2003
• Outros Autores: Srougi, Miguel [UNIFESP], Pereira, Daniel [UNIFESP], Nesrallah, Adriano [UNIFESP], Andreoni, Cássio [UNIFESP], Kauffmann, José R. [UNIFESP], Nesrallah, Luciano [UNIFESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S1677-55382003000300005; http://repositorio.unifesp.br/handle/11600/1724
• topic: prostatic neoplasms; retropubic prostatectomy; anastomosis; surgical; rupture

OBJECTIVE: Rupture of vesicourethral anastomosis following radical retropubic prostatectomy is a complication that requires immediate management. We evaluated the morbidity of this rare complication. MATERIALS AND METHODS: We analyzed retrospectively 5 cases of disruption of vesicourethral anastomosis during post-operative period in a consecutive series of 1,600 radical retropubic prostatectomies, performed by a single surgeon. RESULTS: It occurred in a ratio of 1:320 prostatectomies (0,3%). Management was conservative in all the cases with an average catheter permanence time of 28 days, being its removal preceded by cystography. Two cases were secondary to bleeding, 1 followed the change of vesical catheter and 2 by unknown causes after removing the Foley catheter. Only one patient evolved with urethral stenosis, in the period ranging from 6 to 120 months. CONCLUSION: Rupture of vesicourethral anastomosis is not related to the surgeon's experience, and conservative treatment has shown to be effective.