[A case of further significant anastomotic rupture after gentle traction of urethral catheter for minimal anastomotic leakage after radical retropubic prostatectomy]

Hinyokika Kiyo. 2006 Feb;52(2):151-3.
[Article in Japanese]

Abstract

A 76-year-old man with clinical stage T1c adenocarcinoma of the prostate underwent radical retropubic prostatectomy. After a cystography on postoperative day 7 demonstrated minimal contrast extravasation, gentle catheter traction was performed. However, a cystography on postoperative day 21 showed a displacement of the catheter out of the bladder due to more significant anastomotic rupture. The catheter was preserved without catheter traction for two months. A cystography revealed complete healing of anastomosis without extravasation. This case suggests that catheter traction for anastomotic leakage should be performed carefully because of a potential risk of further anastomotic leakage.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adenocarcinoma / surgery
  • Aged
  • Anastomosis, Surgical / adverse effects
  • Anastomosis, Surgical / methods
  • Extravasation of Diagnostic and Therapeutic Materials / diagnosis*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Postoperative Complications
  • Prostatectomy / adverse effects*
  • Prostatectomy / methods
  • Prostatic Neoplasms / surgery
  • Rupture
  • Traction / adverse effects
  • Urethra / surgery*
  • Urinary Bladder / surgery*
  • Urinary Catheterization*