Side-fenestrated catheter decreases leakage at the urethrovesical anastomosis after robot-assisted laparoscopic radical prostatectomy

Riikonen, Jarno; Kaipia, Antti; Matikainen, Mika; Koskimäki, Juha; Kylmälä, Timo; Tammela, Teuvo L.J.

doi:10.3109/21681805.2013.777365

Cited by 11 publications

(5 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We estimated the prevalence of anastomotic leakage as 9%. In recently published studies, the incidence of anastomotic leakage after RALP has varied from 2.9% [21] to 3.9% [3] up to 13.6% [18], i.e. a similar incidence as found here.…”

Section: Discussionsupporting

confidence: 88%

Urine colour as an indicator for anastomotic leakage after robot-assisted radical prostatectomy

Riikonen

Pakarainen

Siltari

et al. 2020

Scandinavian Journal of Urology

Self Cite

View full text Add to dashboard Cite

Objectives: To determine whether macroscopic hematuria predicts urethrovesical anastomotic leakage after robot-assisted laparoscopic radical prostatectomy (RALP) as well as a cystogram.Patients and methods: Participants were recruited before cystogram and catheter removal 5 to 14 days after RALP surgery. Urine colour in the collection bag was classified according to a three-step scale (clear, light red and dark red) and leakages in cystogram were graded with a four-step scale (Grade 0-3). Diagnostic accuracy parameters were calculated for urine colour. A multivariate logistic regression model was used to evaluate other leakage risk factors.Results: Of 214 patients, 201 (94%) had clear, 6 (3%) had light red and 7 (3%) had dark red coloured urine. In the cystogram, 20 (9%) patients had leakage; 14 had Grade 1, 5 Grade 2 and 1 Grade 3 leakage. Overall, specificity and sensitivity of urine colour in predicting anastomotic leakage were 0.97 (95% CI 0.95-100) and 0.38 (95% CI 0.17-0.59), respectively. Negative and positive predictive values were 94% and 62%, respectively.Other significant risk factors for anastomotic leakage were previous transurethral resection or radiation therapy to the prostate, non-waterproof anastomosis at surgery, postoperative pelvic hematoma, long catheterization and surgeon's inexperience. In patients with no other risk factors, test sensitivity improved to 0.80 (95% CI 0.45-1.15) and negative and positive predictive values to 99% and 44%, respectively. Conclusion: Our prospective single-arm trial indicates that in patients with clear urine and no other risk factors for anastomotic leakage, a cystogram examination before urethral catheter removal can be safely omitted.

show abstract

Section: Discussionsupporting

confidence: 88%

Urine colour as an indicator for anastomotic leakage after robot-assisted radical prostatectomy

Riikonen

Pakarainen

Siltari

et al. 2020

Scandinavian Journal of Urology

Self Cite

View full text Add to dashboard Cite

show abstract

“…J. Riikonen и соавт. также предлагают диагностировать несостоятельность УВА с использованием цистографии на 7-е (± 2) сутки [7].…”

Section: Discussionunclassified

Classification urine leakage from urethrovesical anastomosis after prostatectomy

Petrosyan¹,

Кельн

2023

Onkourologiâ

View full text Add to dashboard Cite

Background. Urine leakage from urethrovesical anastomosis (UVA) is a frequent and significant complication after prostatectomy.Aim. To determine frequency urine leakage from the anastomosis after prostatectomy, evaluate diagnostic methods, develop classification and management guidelines for patients with this complication.Materials and methods. A retrospective analysis of 1426 patients who underwent prostatectomy was performed. Results. In total, 97 (6.8 %) patients developed UVA failure in the early postoperative period. The complication was diagnosed on the 7th day after prostatectomy using retrograde cystography. An original classification urine leakage from the anastomosis after prostatectomy was proposed using numbers (0, I, II, III) and letters (A, B, C). In 50 (3.4 %) patients, grade I (A, B, C) UVA failure was diagnosed; 38 (2.7 %) patients had grade II (A, B, C) UVA failure; 9 (0.6 %) patients had grade III (A, B) UVA failure. The developed classification allows to accurately determine the severity of UVA failure and apply the appropriate methods for its correction.Conclusion. Urine leakage from UVA is a serious problem in surgical treatment of prostate cancer. Currently, it is necessary to systematize the available data and introduce unified classification and algorithm for correcting this complication into clinical practice.

show abstract

“…A self-made fenestration as described by Riikonen et al and Diamand et al is routinely used at our centre and was in this case. 2,3 An intraoperative leak test was performed and was negative. A Jackson-Pratt (JP) drain had been placed to monitor for urine leakage, which was removed on post-operative day (POD) 2 without difficulty.…”

Section: Case Reportmentioning

confidence: 99%

Case – Endoscopic management of severe ventral urine leak post-robot-assisted laparoscopic prostatectomy

White

Bitcon

Mason

et al. 2021

CUAJ

View full text Add to dashboard Cite

Vesicourethral leakage following robot-assisted laparoscopic prostatectomy is an uncommon complication, and the majority of cases are managed conservatively. Persistent leakage, which is refractory to conservative measures, may require more invasive management. Herein, we describe a novel approach for managing urine leaks endoscopically, without the need for percutaneous nephrostomy tube insertion.

show abstract

Side-fenestrated catheter decreases leakage at the urethrovesical anastomosis after robot-assisted laparoscopic radical prostatectomy

Abstract: The side-fenestrated catheter decreased leakage rates at the urethrovesical anastomosis after RALP.

Cited by 11 publications

References 29 publications

Urine colour as an indicator for anastomotic leakage after robot-assisted radical prostatectomy

Urine colour as an indicator for anastomotic leakage after robot-assisted radical prostatectomy

Classification urine leakage from urethrovesical anastomosis after prostatectomy

Case – Endoscopic management of severe ventral urine leak post-robot-assisted laparoscopic prostatectomy

Contact Info

Product

Resources

About