Vesicourethral anastomotic (VUA) disruption with bladder displacement into the abdominal cavity following robot-assisted laparoscopic prostatectomy (RALP) is an exceedingly rare complication. There have been no cited case reports after robotic surgery but case reports after open radical prostatectomy have been noted. Other complications related to VUA include bleeding with or without pelvic hematoma, bladder neck contracture, or severe stress urinary incontinence. Following radical prostatectomy, studies estimate the rate of VUA leakage to be 1.4% and no exact rate of complete disruption is known given its rarity. However, the majority of these cases are managed conservatively and rarely require reoperation. To date, there are no published studies that describe complete VUA and bladder displacement secondary to a large pelvic hematoma following prostatectomy. We report a rare case of VUA disruption after RALP successfully managed with conservative treatment.

Last modified

• 01/20/2017

Creator

• Justin S. Han
• Ashima Singal
• Christopher M. Gonzalez
• Daniel Oberlin

DOI

• https://doi.org/10.21985/N2K486

Publisher

• Mary Ann Liebert, Inc.

Alternate Identifier

• DOI: 10.1089/cren.2016.0065

Keyword

• Case study
• Vesicourethral anastomotic (VUA)

Date created

• 2016-06-29

Related url

•  http://online.liebertpub.com/doi/10.1089/cren.2016.0065

Resource type

• Article

Source

• JOURNAL OF ENDOUROLOGY CASE REPORTS

License

• Attribution 3.0 United States