Urethral catheter entrapped in vesicourethral anastomotic sutures after laparoscopic radical prostatectomy successfully removed by transurethral approach

Author:

Yoshihara Kentaro1ORCID,Tashiro Kojiro1,Kimura Shoji2,Yasue Keiji1,Urabe Fumihiko2ORCID,Yamada Hiroki1,Kimura Takahiro2

Affiliation:

1. Department of Urology The Jikei University School of Medicine Katsushika Medical Center Tokyo Japan

2. Department of Urology The Jikei University School of Medicine Tokyo Japan

Abstract

IntroductionUrethral catheter entrapped in vesicourethral anastomotic sutures after radical prostatectomy is a relatively common complication. We herein present a novel and safe technique to remove urethral catheter.Case presentationA 64‐year‐old man was diagnosed with prostate cancer. Subsequently he underwent laparoscopic radical prostatectomy. On postoperative Day 7, the patient experienced difficulty in removing the catheter, and entanglement of the suture with the urinary catheter was suspected. After conservative follow‐up, a rigid endoscope was inserted into the urethra beside urethral catheter, identifying suture entanglement with the catheter. Finally, the suture was cut with scissor forceps.ConclusionTo the best of our knowledge, this is the first reported case in which scissor forceps were used to cut the entangled thread in such a complication. This case highlights a novel but simple method for difficult removal of an entrapped catheter.

Publisher

Wiley

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