Prolonged urinary leakage in the postoperative period of renal hydatic cyst treatment with oral desmopressin: a case report
Prolonged extravasation after renal and ureter surgeries is a bothersome situation for both the patient and the doctor. It is usually related to the suture line not being watertight. The contact between urine and the edges of the wound also delay healing of the wound. In this situation, the first thing to do is to break the contact between the wound and the urine by inserting an adequate stent. Sometimes, this process is not enough. We approached this problem with a different treatment method for a case involving prolonged drainage.
A 52-year-old Caucasian woman who presented at our clinic with right flank pain was operated on due to a renal hydatic cyst, and cyst removal was performed. On follow-up, prolonged urinary leakage was observed and a desmopressin treatment was started on the patient. Drainage was greatly reduced after desmopressin was started and there was no drainage on the fifth day.
Prolonged extravasation is a bothersome situation and there can be many reasons for this. Whenever traditional approaches are not enough, oral desmopressin therapy can be started reliably if there are no contraindications for the patient. Eventually, contact between urine and the suture site will cease and therefore the fever and healing time will be shortened.
- Meeks JJ, Zhao LC, Navai N, Perry KT, Nadler RB, Smith ND: Risk factors and management of urine leaks after partial nephrectomy. J Urol 2008, 180:2375–2378. CrossRef
- Simmons MN, Gill IS: Decreased complications of contemporary laparoscopic partial nephrectomy: use of a standardized reporting system. J Urol 2007, 177:2067–2073. CrossRef
- Gill IS, Kamoi K, Aron M, Desai MM: 800 Laparoscopic partial nephrectomies: a single surgeon series. J Urol 2010, 183:34–41. CrossRef
- Vincent JL, Su F: Physiology and pathophysiology of the vasopressinergic system. Best Pract Res Clin Anaesthesiol 2008, 22:243–252. CrossRef
- Lose G, Lalos O, Freeman RM, van Kerrebroeck P: Efficacy of desmopressin (Minirin) in the treatment of nocturia: a double-blind placebo-controlled study in women. Am J Obstet Gynecol 2003, 189:1106–1113. CrossRef
- Kim RJ, Malattia C, Allen M, Moshang T, Maghnie M: Vasopressin and desmopressin in central diabetes insipidus: adverse effects and clinical considerations. Pediatr Endocrinol Rev 2004, 1:115–123.
- Hanebutt FL, Rolf N, Loesel A, Kuhlisch E, Siegert G, Knoefler R: Evaluation of desmopressin effects on haemostasis in children with congenital bleeding disorders. Haemophilia 2008, 14:524–530. CrossRef
- Razzaghi MR, Rezaei A, Javanmard B, Lotfi B: Desmopressin as an alternative solution for urinary leakage after ureterocaliceal surgeries. Urol J 2009, 6:120–122.
- Cimentepe E, Unsal A, Akbulut Z, Balbay MD: Prolonged urinary drainage from nephrostomy tract after percutaneous nephrolithotomy can be treated with oral desmopressin. Scand J Urol Nephrol 2004, 38:266–267. CrossRef
- Prolonged urinary leakage in the postoperative period of renal hydatic cyst treatment with oral desmopressin: a case report
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Journal of Medical Case Reports
- Online Date
- October 2012
- Online ISSN
- BioMed Central
- Additional Links
- Desmopressin treatment
- Hydatic cyst
- Renal leakage