Severe Hematuria and Prevesical Hematoma after Open Ureterocystoneostomy: Sequel of Undiagnosed Hemophilia

Surgical interventions for vesicoureteral reflux (VUR) include open or laparoscopic ureterocystoneostomy (UCN) and endoscopic injection. Historically, open UCN has been the gold standard in surgical treatment of VUR with high success and low complication rates. [1] Although open UCN causes bleeding from the incised bladder wall or dissected trigone, the bleeding is usually not severe unless a bleeding disorder is present. We report a case of bilateral VUR that developed severe persistent hematuria and prevesical hematoma after open UCN.