| Revue: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296512 |
| ISSN: | 1677-5538 |
| Autores: | Dall'Oglio, Marcos1 Srougi, Miguel Pereira, Daniel Nesrallah, Adriano Andreoni, Cassio Kauffmann, Jose R Nesrallah, Luciano |
| Instituciones: | 1Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Sao Paulo. Brasil |
| Año: | 2003 |
| Periodo: | May-Jun |
| Volumen: | 29 |
| Número: | 3 |
| Paginación: | 221-227 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | 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 |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Oncología, Neoplasias, Prostatectomía, Anastomosis, Ruptura, Complicaciones |
| Keyword: | Medicine, Oncology, Surgery, Prostatectomy, Rupture, Complications, Neoplasms |
| Texte intégral: | Texto completo (Ver HTML) |
