Bilateral hydronephrosis subsequent to a giant lymphocele after robotic radical prostatectomy

Erdem Koç; Bahri Gök; Davut Kamacı; Erem Asil; Ali Fuat Atmaca

doi:10.28982/josam.601013

Authors

Erdem Koç https://orcid.org/0000-0003-3439-2105
Bahri Gök https://orcid.org/0000-0002-2295-234X
Davut Kamacı https://orcid.org/0000-0002-3454-6154
Erem Asil https://orcid.org/0000-0001-6966-5076
Ali Fuat Atmaca https://orcid.org/0000-0002-0794-2135

DOI:

https://doi.org/10.28982/josam.601013

Keywords:

Hydronephrosis, Lymphocele, Prostate carcinoma, Robotic surgery

Abstract

Lymphocele, one the most common complications after pelvic lymph node dissection, is usually observed between postoperative 2nd-12th months as a subclinical complication. We aimed to present a bilateral hydronephrosis case resulting from a giant lymphocele which developed during the early postoperative period after robot assisted radical prostatectomy (RARP) and pelvic lymph node dissection. Cystography was performed on the 7th postoperative day following RARP and extended lymph node dissection. Due to the left sided deviation of the bladder in cystographic images, non-contrast computed tomography (CT) was obtained, which revealed bilateral hydronephrosis and a giant lymphocele in the right pelvic region. The clinical status improved dramatically after percutaneous catheter drainage of the lymphocele. To the best of our knowledge, this is the first bilateral hydronephrosis case in the literature, which developed due to a giant lymphocele that occurred during the early postoperative period after transperitoneal surgery and had an asymptomatic clinical course despite increased creatinine levels. The findings improved dramatically by percutaneous catheter drainage.

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