Affiliation:
1. Department of Urology, Western General Hospital, UK
Abstract
Minimally invasive radical prostatectomy has become the standard surgical approach in the United Kingdom. Haematoma formation is a recognised post-operative complication, but this tends to be regarded as an early complication and there is a paucity of clinical information on the challenges of delayed haematoma formation. We present an unusual case of a man presenting with a late post-operative bleed that occurred spontaneously 5 weeks after surgery. A haematoma developed and was associated with complete disruption of the vesico-urethral anastomosis, that imaging had shown to be intact 11 days post-operatively. Level of evidence: 4
Reference8 articles.
1. Cancer Research UK. Most common types of cancer in the UK, 2020, https://www.cancerresearchuk.org/health-professional/cancer-statistics/incidence/common-cancers-compared#heading-Zero (accessed February 2021).
2. EAU Guidelines on Prostate Cancer. Part 1: Screening, Diagnosis, and Treatment of Clinically Localised Disease
3. NICE Guidelines. Prostate cancer: diagnosis and management, 2019, https://www.nice.org.uk/guidance/ng131/chapter/recommendations#prostatectomy (accessed February 2021).
4. Laparoscopic Radical Prostatectomy - the Experience of the German Laparoscopic Working Group
5. Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management