Complete Vesicourethral Anastomotic Disruption Following Prostatectomy

Area of Science:

• Urology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Robot-assisted laparoscopic prostatectomy (RALP) is a common procedure for prostate cancer.
• Vesicourethral anastomotic (VUA) disruption is a rare complication following radical prostatectomy.
• Complete VUA disruption with bladder displacement is exceptionally rare, with no prior reports after robotic surgery.

Observation:

• A patient developed complete VUA disruption and bladder displacement into the abdominal cavity post-RALP.
• The complication was associated with a large pelvic hematoma.
• This presentation is unprecedented in the literature following robotic prostatectomy.

Findings:

• The reported case of VUA disruption and bladder displacement was successfully managed conservatively.
• Conservative management is the predominant approach for VUA leakage and minor disruptions.
• This case expands the understanding of potential VUA complications and their management.

Implications:

• This case highlights the possibility of rare but significant complications after RALP.
• Conservative management can be effective even in severe VUA disruptions with bladder displacement.
• Further research may explore risk factors and optimal management strategies for such rare events.