Urethrovesicular anastomotic leak post radical prostatectomy
Three weeks post radical prostatectomy ?leak.
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Contrast leak from the presumed site of anastomosis at the prostatic urethra/bladder neck, which is persistent on post bladder emptying views. It appears to be extraperitoneal.
- urethrovesicular anastomotic leakage (UVAL) post radical prostatectomy can present as an early or late complication and is one of the most common complications but with a decreasing incidence over time:
- ~80% on day 8 post-operatively
- ~40% on day 11 post-operatively
- 20% on day 14 post-operatively
- 8% on day 21 post-operatively
- UVAL can result in extra- or intraperitoneal urine collections, the latter being more serious and can result in peritonitis, ileus or renal failure
- Michaelson MD, Cotter SE, Gargollo PC et-al. Management of complications of prostate cancer treatment. CA Cancer J Clin. 2008;58 (4): 196-213. doi:10.3322/CA.2008.0002 - Free text at pubmed - Pubmed citation
- Tyritzis SI, Katafigiotis I, Constantinides CA. All you need to know about urethrovesical anastomotic urinary leakage following radical prostatectomy. J. Urol. 2012;188 (2): 369-76. doi:10.1016/j.juro.2012.03.126 - Pubmed citation