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 journalArticlepeer-review


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 languageEnglish
Pages (from-to)2429-2433
Number of pages5
JournalRadiology Case Reports
Issue number6
Publication statusPublished - Jun 2024
Externally publishedYes


  • Cystogram
  • Cystoscopy
  • Hemicolectomy
  • Radiation cystitis
  • Radiation therapy
  • Urinary dysfunction


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