Case in which percutaneous fibrin glue injection was useful for refractory urinary fistula following robot‐assisted partial nephrectomy

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 uri...

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Bibliographic Details
Published in:IJU case reports 2024-07, Vol.7 (4), p.281-284
Main Authors: Yukimatsu, Nao, Yamasaki, Takeshi, Iguchi, Keiko, Otoshi, Taiyo, Kato, Minoru, Uchida, Junji
Format: Article
Language:English
Subjects:
Case Report
Case reports
Catheters
Conflicts of interest
fibrin glue
Fistula
Physiology
robot‐assisted partial nephrectomy
Stents
Supervision
Sutures
Tomography
Ultrasonic imaging
urinary fistula
Urogenital system
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Summary: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.
ISSN:2577-171X
2577-171X
DOI:10.1002/iju5.12724