Successful wound closure using fibrin glue for intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction
Introduction Complications of cystectomy and neobladder reconstruction such as anastomotic leakage have been reported. It is a common complication; however, most cases improve conservatively. The use of fibrin glue for fistulas has been reported, but no reports have shown its effectiveness for urina...
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| Format: | Article |
| Language: | English |
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Wiley
2023-09-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12592 |
| _version_ | 1797694027352506368 |
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| author | Keisuke Ishikawa Masayoshi Nagata Yuta Anno Miki Yamagishi Toshiyuki China Fumitaka Shimizu Shuji Isotani Satoru Muto Shigeo Horie |
| author_facet | Keisuke Ishikawa Masayoshi Nagata Yuta Anno Miki Yamagishi Toshiyuki China Fumitaka Shimizu Shuji Isotani Satoru Muto Shigeo Horie |
| author_sort | Keisuke Ishikawa |
| collection | DOAJ |
| description | Introduction Complications of cystectomy and neobladder reconstruction such as anastomotic leakage have been reported. It is a common complication; however, most cases improve conservatively. The use of fibrin glue for fistulas has been reported, but no reports have shown its effectiveness for urinary tract anastomotic leakage. We experienced a case of intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction, which was effectively managed using fibrin glue. Case presentation A 70‐year‐old man underwent radical cystectomy and ileal neobladder reconstruction for invasive bladder cancer with urothelial carcinoma. After surgery, the urethral catheter fell off and the anastomotic leakage did not improve by adjusting the position of the urethral catheter and percutaneous nephrostomy. We closed the intractable neobladder‐urethral anastomotic leakage by injecting fibrin glue and the leakage completely disappeared. Conclusion Injecting fibrin glue into anastomotic site can be effective in severe neobladder‐urethral anastomosis leakage. |
| first_indexed | 2024-03-12T02:51:08Z |
| format | Article |
| id | doaj.art-42ad8e706a5c4d8da31c07bd8713a15c |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-03-12T02:51:08Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-42ad8e706a5c4d8da31c07bd8713a15c2023-09-04T00:11:48ZengWileyIJU Case Reports2577-171X2023-09-016526727010.1002/iju5.12592Successful wound closure using fibrin glue for intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstructionKeisuke Ishikawa0Masayoshi Nagata1Yuta Anno2Miki Yamagishi3Toshiyuki China4Fumitaka Shimizu5Shuji Isotani6Satoru Muto7Shigeo Horie8Department of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Urology Juntendo University Graduate School of Medicine Tokyo JapanIntroduction Complications of cystectomy and neobladder reconstruction such as anastomotic leakage have been reported. It is a common complication; however, most cases improve conservatively. The use of fibrin glue for fistulas has been reported, but no reports have shown its effectiveness for urinary tract anastomotic leakage. We experienced a case of intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction, which was effectively managed using fibrin glue. Case presentation A 70‐year‐old man underwent radical cystectomy and ileal neobladder reconstruction for invasive bladder cancer with urothelial carcinoma. After surgery, the urethral catheter fell off and the anastomotic leakage did not improve by adjusting the position of the urethral catheter and percutaneous nephrostomy. We closed the intractable neobladder‐urethral anastomotic leakage by injecting fibrin glue and the leakage completely disappeared. Conclusion Injecting fibrin glue into anastomotic site can be effective in severe neobladder‐urethral anastomosis leakage.https://doi.org/10.1002/iju5.12592anastomotic leakagecystectomyfibrin glueneobladder reconstructionwound closure |
| spellingShingle | Keisuke Ishikawa Masayoshi Nagata Yuta Anno Miki Yamagishi Toshiyuki China Fumitaka Shimizu Shuji Isotani Satoru Muto Shigeo Horie Successful wound closure using fibrin glue for intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction IJU Case Reports anastomotic leakage cystectomy fibrin glue neobladder reconstruction wound closure |
| title | Successful wound closure using fibrin glue for intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction |
| title_full | Successful wound closure using fibrin glue for intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction |
| title_fullStr | Successful wound closure using fibrin glue for intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction |
| title_full_unstemmed | Successful wound closure using fibrin glue for intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction |
| title_short | Successful wound closure using fibrin glue for intractable neobladder‐urethral anastomosis leakage after radical cystectomy and neobladder reconstruction |
| title_sort | successful wound closure using fibrin glue for intractable neobladder urethral anastomosis leakage after radical cystectomy and neobladder reconstruction |
| topic | anastomotic leakage cystectomy fibrin glue neobladder reconstruction wound closure |
| url | https://doi.org/10.1002/iju5.12592 |
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