NE-AUA 2006 Annual Meeting, September 28 - 30, 2006, The Westin Hotel & Rhode Island Convention Center Providence, Rhode Island
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Cystoscopic Treatment of Ureteral Obstruction Following Robotic-Assisted Laparoscopic Radical Prostatectomy
Brian H. Irwin, MD1, Joseph R. Wagner, MD2.
1University of Connecticut, West Hartford, CT, USA, 2Hartford Hospital, Hartford, CT,

Background: Ureteral injury and obstruction at the time of radical prostatectomy are well described complications of both open and laparoscopic surgical techniques.
Methods: We present a video presentation of a case of ureteral obtruction at the level of the vesico-urethral anastomosis following robotic-assisted radical prostatectomy. The video shows critical portions of the original sugery and the subsequent complication being treated cystoscopically with anastomotic suture incision, internal ureteral stenting, and foley catheter drainage.
Results: The patient tolerated the procedure well with subsequent resolution of his hydronephrosis on follow-up ultrasound examination. Upon cystoscopic removal of the patient's ureteral stent, the anastomosis showed evidence of healthy granulation tissue as evidence of successful healing.
Conclusions: Cystoscopic incision of obstructing anastomotic sutures and ureteral stenting is a relatively minimally invasive and feasible treatment for ureteral obstruction following robotic-assisted laparoscopic radical prostatectomy.


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