The Management of a Urinary Bladder Leak in a Patient with Radiation Cystitis

Zubir S. Rentiya; Deepa Francis; Sandra Mary Francis; Pugazhendi Inban; Rohan Raj; Ogbonnaya Akuma; Chinaza Mercy Akuma; Ronald Mauricio Blanco Montecino; Manjeet Singh; Kainat Makheja; Om Parkash; Santhosh J. Kottoor

doi:10.1016/j.radcr.2024.02.115

The Management of a Urinary Bladder Leak in a Patient with Radiation Cystitis

Zubir S. Rentiya, Deepa Francis, Sandra Mary Francis, Pugazhendi Inban, Rohan Raj, Ogbonnaya Akuma, Chinaza Mercy Akuma, Ronald Mauricio Blanco Montecino, Manjeet Singh, Kainat Makheja, Om Parkash, Santhosh J. Kottoor

Research output: Contribution to journal › Article › peer-review

Abstract

Urinary dysfunction following treatment for rectal adenocarcinoma is a common and complex complication. We present a case of a 69-year-old male who underwent laparoscopic-assisted left hemicolectomy and loop ileostomy after receiving chemotherapy and radiation therapy for rectal adenocarcinoma. Postoperatively, it was incidentally discovered the patient had urinary frequency and urgency. Cystoscopy revealed radiation changes to the bladder walls and a bladder leak was confirmed by cystogram. The patient underwent successful repair of the urinary bladder leak, with challenges posed by prior radiation therapy. Effective prevention and management strategies for urinary dysfunction require a comprehensive preoperative risk assessment, consideration of nerve-preserving surgical techniques, and prompt identification and repair of postoperative complications.

Original language	English
Pages (from-to)	2429-2433
Number of pages	5
Journal	Radiology Case Reports
Volume	19
Issue number	6
DOIs	https://doi.org/10.1016/j.radcr.2024.02.115
Publication status	Published - Jun 2024
Externally published	Yes

Keywords

Cystogram
Cystoscopy
Hemicolectomy
Radiation cystitis
Radiation therapy
Urinary dysfunction

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10.1016/j.radcr.2024.02.115

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title = "The Management of a Urinary Bladder Leak in a Patient with Radiation Cystitis",

abstract = "Urinary dysfunction following treatment for rectal adenocarcinoma is a common and complex complication. We present a case of a 69-year-old male who underwent laparoscopic-assisted left hemicolectomy and loop ileostomy after receiving chemotherapy and radiation therapy for rectal adenocarcinoma. Postoperatively, it was incidentally discovered the patient had urinary frequency and urgency. Cystoscopy revealed radiation changes to the bladder walls and a bladder leak was confirmed by cystogram. The patient underwent successful repair of the urinary bladder leak, with challenges posed by prior radiation therapy. Effective prevention and management strategies for urinary dysfunction require a comprehensive preoperative risk assessment, consideration of nerve-preserving surgical techniques, and prompt identification and repair of postoperative complications.",

keywords = "Cystogram, Cystoscopy, Hemicolectomy, Radiation cystitis, Radiation therapy, Urinary dysfunction",

author = "Rentiya, {Zubir S.} and Deepa Francis and Francis, {Sandra Mary} and Pugazhendi Inban and Rohan Raj and Ogbonnaya Akuma and Akuma, {Chinaza Mercy} and Montecino, {Ronald Mauricio Blanco} and Manjeet Singh and Kainat Makheja and Om Parkash and Kottoor, {Santhosh J.}",

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year = "2024",

month = jun,

doi = "10.1016/j.radcr.2024.02.115",

language = "English",

volume = "19",

pages = "2429--2433",

journal = "Radiology Case Reports",

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T1 - The Management of a Urinary Bladder Leak in a Patient with Radiation Cystitis

AU - Rentiya, Zubir S.

AU - Francis, Deepa

AU - Francis, Sandra Mary

AU - Inban, Pugazhendi

AU - Raj, Rohan

AU - Akuma, Ogbonnaya

AU - Akuma, Chinaza Mercy

AU - Montecino, Ronald Mauricio Blanco

AU - Singh, Manjeet

AU - Makheja, Kainat

AU - Parkash, Om

AU - Kottoor, Santhosh J.

PY - 2024/6

Y1 - 2024/6

N2 - Urinary dysfunction following treatment for rectal adenocarcinoma is a common and complex complication. We present a case of a 69-year-old male who underwent laparoscopic-assisted left hemicolectomy and loop ileostomy after receiving chemotherapy and radiation therapy for rectal adenocarcinoma. Postoperatively, it was incidentally discovered the patient had urinary frequency and urgency. Cystoscopy revealed radiation changes to the bladder walls and a bladder leak was confirmed by cystogram. The patient underwent successful repair of the urinary bladder leak, with challenges posed by prior radiation therapy. Effective prevention and management strategies for urinary dysfunction require a comprehensive preoperative risk assessment, consideration of nerve-preserving surgical techniques, and prompt identification and repair of postoperative complications.

AB - Urinary dysfunction following treatment for rectal adenocarcinoma is a common and complex complication. We present a case of a 69-year-old male who underwent laparoscopic-assisted left hemicolectomy and loop ileostomy after receiving chemotherapy and radiation therapy for rectal adenocarcinoma. Postoperatively, it was incidentally discovered the patient had urinary frequency and urgency. Cystoscopy revealed radiation changes to the bladder walls and a bladder leak was confirmed by cystogram. The patient underwent successful repair of the urinary bladder leak, with challenges posed by prior radiation therapy. Effective prevention and management strategies for urinary dysfunction require a comprehensive preoperative risk assessment, consideration of nerve-preserving surgical techniques, and prompt identification and repair of postoperative complications.

KW - Cystogram

KW - Cystoscopy

KW - Hemicolectomy

KW - Radiation cystitis

KW - Radiation therapy

KW - Urinary dysfunction

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U2 - 10.1016/j.radcr.2024.02.115

DO - 10.1016/j.radcr.2024.02.115

M3 - Article

AN - SCOPUS:85188994710

SN - 1930-0433

VL - 19

SP - 2429

EP - 2433

JO - Radiology Case Reports

JF - Radiology Case Reports

IS - 6

ER -

The Management of a Urinary Bladder Leak in a Patient with Radiation Cystitis

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Keywords

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