Case in which percutaneous fibrin glue injection was useful for refractory urinary fistula following robot-assisted partial nephrectomy

Q4 Medicine

IJU Case Reports Pub Date : 2024-04-04 DOI:10.1002/iju5.12724

Nao Yukimatsu, Takeshi Yamasaki, Keiko Iguchi, Taiyo Otoshi, Minoru Kato, Junji Uchida

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Abstract

Introduction

Urinary fistula is a rare complication following robot-assisted partial nephrectomy. For cases refractory to conservative treatment, only ureteral stent placement and percutaneous drainage are the established treatment alternatives.

Case presentation

A 44-year-old man presented with urinary fistula 3 weeks after robot-assisted partial nephrectomy for right renal cell carcinoma. Follow-up observations were conducted for 2 weeks; however, no improvements were observed. Additionally, the patient did not improve following percutaneous drainage and ureteral stent insertion. Subsequently, the patient received percutaneous injections of fibrin glue, with the urinary fistula showing significant improvements on the following day.

Conclusion

Our findings indicated that percutaneous fibrin glue injection can effectively treat refractory urinary fistula following partial nephrectomy.

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经皮纤维蛋白胶注射治疗机器人辅助肾部分切除术后难治性尿瘘的病例

尿瘘是机器人辅助肾部分切除术后的一种罕见并发症。一名 44 岁的男子因右肾细胞癌接受机器人辅助肾部分切除术 3 周后出现尿瘘。对该患者进行了 2 周的随访观察，但未发现任何好转。此外，患者在接受经皮引流术和输尿管支架植入术后病情也未见好转。我们的研究结果表明，经皮注射纤维蛋白胶能有效治疗肾部分切除术后的难治性尿瘘。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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