A Simple but Often Neglected Technique for Managing Prolonged Urinary Leakage from Urethrovesical Anastomosis: The Side-Fenestrated Catheter Approach.

IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Nigerian Journal of Clinical Practice Pub Date : 2025-04-01 Epub Date: 2025-04-26 DOI:10.4103/njcp.njcp_795_24
F Bicaklioglu
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引用次数: 0

Abstract

Urethrovesical anastomotic leakage (UVAL) is a well-documented early complication following radical prostatectomy. While low-volume leaks are often self-limiting, persistent high-volume leaks (>300 mL/day), where most urine bypasses the catheter, may require invasive interventions. We report the case of a 58-year-old male with prostate adenocarcinoma who developed high-volume UVAL after undergoing laparoscopic radical prostatectomy, which was unresponsive to conservative measures. A side-fenestrated catheter was placed under local anesthesia via cystoscopy on postoperative day 2, leading to rapid resolution of the leak. The patient was subsequently discharged on postoperative day 4 following drain removal. This case highlights the effectiveness of a simple, minimally invasive side-fenestrated catheter approach for managing UVAL, offering an alternative to more invasive interventions such as bilateral percutaneous nephrostomy, suprapubic catheter placement, or even surgical revision of the urethrovesical anastomosis.

一种简单但常被忽视的处理膀胱吻合术长期尿漏的技术:侧开窗导尿管入路。
尿道膀胱吻合口漏(UVAL)是根治性前列腺切除术后的早期并发症。虽然小容量泄漏通常是自限性的,但持续的大容量泄漏(100 - 300毫升/天),其中大多数尿液绕过导管,可能需要侵入性干预。我们报告一例58岁男性前列腺癌患者在接受腹腔镜根治性前列腺切除术后发生高容量UVAL,对保守措施无反应。术后第2天通过膀胱镜在局部麻醉下放置侧开窗导管,导致泄漏迅速解决。患者于术后第4天拔除引流管出院。本病例强调了一种简单、微创的侧开窗导管入路治疗UVAL的有效性,为双侧经皮肾造口术、耻骨上置管、甚至尿道膀胱吻合术的手术修复等更具侵入性的干预提供了一种选择。
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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来源期刊
Nigerian Journal of Clinical Practice
Nigerian Journal of Clinical Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
275
审稿时长
4-8 weeks
期刊介绍: The Nigerian Journal of Clinical Practice is a Monthly peer-reviewed international journal published by the Medical and Dental Consultants’ Association of Nigeria. The journal’s full text is available online at www.njcponline.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal makes a token charge for submission, processing and publication of manuscripts including color reproduction of photographs.
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