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Updated: Jun 27, 2026

Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Case in which percutaneous fibrin glue injection was useful for refractory urinary fistula following robot-assisted
Nao Yukimatsu1, Takeshi Yamasaki1, Keiko Iguchi1
1Department of Urology, Graduate School of Medicine Osaka Metropolitan University Osaka Japan.
Introduction:
Urinary fistula is a rare complication following robot-assisted partial nephrectomy. For cases refractory to conservative treatment, only ureteral stent placement and percutaneous drainage are the established treatment alternatives.
Case Presentation:
A 44-year-old man presented with urinary fistula 3 weeks after robot-assisted partial nephrectomy for right renal cell carcinoma. Follow-up observations were conducted for 2 weeks; however, no improvements were observed. Additionally, the patient did not improve following percutaneous drainage and ureteral stent insertion. Subsequently, the patient received percutaneous injections of fibrin glue, with the urinary fistula showing significant improvements on the following day.
Conclusion:
Our findings indicated that percutaneous fibrin glue injection can effectively treat refractory urinary fistula following partial nephrectomy.

