A J Gross1, M J Lipp2, R Baumbach3, B Becker1, K Vogt1, C Rosenbaum1, C Netsch4. 1. Department of Urology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291, Hamburg, Germany. 2. Department of Surgery, Asklepios Hospital Barmbek, Rübenkamp 220, 22291, Hamburg, Germany. 3. Department of Gastroenterology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291, Hamburg, Germany. 4. Department of Urology, Asklepios Hospital Barmbek, Rübenkamp 220, 22291, Hamburg, Germany. c.netsch@asklepios.com.
Abstract
INTRODUCTION: Transurethral resection of the prostate and open prostatectomy have been the standard of care for the surgical treatment of benign prostatic obstruction (BPO) over decades. New emerging techniques for the surgical management of BPO have been currently introduced, but might be associated with new, unusual complications. METHODS: We herewith report on two patients with a rectal perforation after aquablation treatment of BPO. RESULTS: In the first case, the diagnosis was made 2 days after the aquablation procedure due to unspecific postoperative symptoms. A complex combined open/endoscopic repair of the defect was carried out thereafter. As a consequence, a rectoscopy was routinely performed since then following each aquablation procedure. In the second case, intraoperative rectoscopy after uneventful aquablation revealed the rectal perforation. The perforation was clipped immediately with an over the scope-clip by colonoscopy. CONCLUSIONS: These two cases of a rectal perforation after aquablation of the prostate demonstrate an unusual complication and its complex management. Diagnostic delay complicates its treatment. Therefore, immediate rectoscopy should be performed routinely after the aquablation procedure.
INTRODUCTION: Transurethral resection of the prostate and open prostatectomy have been the standard of care for the surgical treatment of benign prostatic obstruction (BPO) over decades. New emerging techniques for the surgical management of BPO have been currently introduced, but might be associated with new, unusual complications. METHODS: We herewith report on two patients with a rectal perforation after aquablation treatment of BPO. RESULTS: In the first case, the diagnosis was made 2 days after the aquablation procedure due to unspecific postoperative symptoms. A complex combined open/endoscopic repair of the defect was carried out thereafter. As a consequence, a rectoscopy was routinely performed since then following each aquablation procedure. In the second case, intraoperative rectoscopy after uneventful aquablation revealed the rectal perforation. The perforation was clipped immediately with an over the scope-clip by colonoscopy. CONCLUSIONS: These two cases of a rectal perforation after aquablation of the prostate demonstrate an unusual complication and its complex management. Diagnostic delay complicates its treatment. Therefore, immediate rectoscopy should be performed routinely after the aquablation procedure.
Authors: Giuseppe Magistro; Christopher R Chapple; Mostafa Elhilali; Peter Gilling; Kevin T McVary; Claus G Roehrborn; Christian G Stief; Henry H Woo; Christian Gratzke Journal: Eur Urol Date: 2017-07-19 Impact factor: 20.096
Authors: Vincent Misrai; Enrique Rijo; Kevin C Zorn; Nicolas Barry-Delongchamps; Aurelien Descazeaud Journal: Eur Urol Date: 2019-07-05 Impact factor: 20.096
Authors: David-Dan Nguyen; Vincent Misraï; Thorsten Bach; Naeem Bhojani; James E Lingeman; Dean S Elterman; Kevin C Zorn Journal: World J Urol Date: 2020-03-02 Impact factor: 4.226
Authors: T Fardoun; R Mathieu; S Vincendeau; E Della Negra; L Corbel; J P Couapel; A Manunta; K Bensalah; G Verhoest Journal: Prog Urol Date: 2014-12-22 Impact factor: 0.915
Authors: Peter Gilling; Neil Barber; Mohamed Bidair; Paul Anderson; Mark Sutton; Tev Aho; Eugene Kramolowsky; Andrew Thomas; Barrett Cowan; Ronald P Kaufman; Andrew Trainer; Andrew Arther; Gopal Badlani; Mark Plante; Mihir Desai; Leo Doumanian; Alexis E Te; Mark DeGuenther; Claus Roehrborn Journal: Can J Urol Date: 2020-02 Impact factor: 1.344