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[Post-traumatic and postoperative asymptomatic urinoma. 2 case reports]
W Werner1, O Reichelt, J Schubert
1Klinik und Poliklinik für Urologie, Friedrich-Schiller-Universität Jena.
Fortschritte Der Medizin. Originalien
|January 16, 2002
Summary
Urinomas, collections of leaked urine, are often asymptomatic but require surgical intervention. This study highlights two cases of prolonged asymptomatic urinomas, emphasizing the need for uroradiography in diagnosing urinary retention.
Area of Science:
- Urology
- Surgical Pathology
Background:
- A urinoma is a collection of extravasated urine following urinary tract injury.
- Asymptomatic urinomas are rare, with limited literature between 1996-1998.
Observation:
- Two cases of urinomas remained asymptomatic for four months.
- Initial misinterpretation occurred before diagnosis and treatment.
Findings:
- Case 1: Urinoma post-rectal cancer surgery. Case 2: Urinoma secondary to avulsed ureter.
- Surgical treatment, including stenting, drainage, and reconstruction, led to cure in both cases.
Implications:
- Ultrasonography findings of urinary retention necessitate uroradiography, even without clear clinical signs.
- Prompt diagnosis and tailored surgical management are crucial for treating urinomas.