{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:10:05Z","timestamp":1756311005630,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,7]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Urinary leak following ileal conduit after a radical cystectomy is a rare yet serious complication which presents early in the postoperative period. We herein present a case of a 38-year-old man diagnosed with recurrent high-grade non-muscle invasive bladder carcinoma. He underwent robot-assisted radical cystectomy and bilateral pelvic lymph node dissection. Postoperatively, the patient developed a high output urinary fistula (800\u20131000 mL\/day) which was confirmed by fluid creatinine levels and a contrast study. He was managed successfully with a conservative approach. The leak subsided in 6 weeks and on follow-up patient is doing well. Most of the literature favours a surgical approach in such cases, however with optimal nutritional support (enteral\/parenteral), adequate diversion of urine, percutaneous drainage of undrained collections, adequate intravenous antibiotics and good nursing care, resurgery with its associated morbidity can be avoided resulting in successful outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2021-244617","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T08:29:09Z","timestamp":1640852949000},"page":"e244617","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Successful management of a high-output urinary fistula following radical cystectomy and ileal conduit: a conservative approach"],"prefix":"10.1136","volume":"14","author":[{"given":"Harkirat Singh","family":"Talwar","sequence":"first","affiliation":[{"name":"Department of Urology, All India Institute of Medical Sciences\u2014Rishikesh, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas Kumar","family":"Panwar","sequence":"additional","affiliation":[{"name":"Department of Urology, All India Institute of Medical Sciences\u2014Rishikesh, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankur","family":"Mittal","sequence":"additional","affiliation":[{"name":"Department of Urology, All India Institute of Medical Sciences\u2014Rishikesh, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudra Prasad","family":"Ghorai","sequence":"additional","affiliation":[{"name":"Department of Urology, All India Institute of Medical Sciences\u2014Rishikesh, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,30]]},"reference":[{"key":"2025082708454674000_14.12.e244617.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.06.014"},{"key":"2025082708454674000_14.12.e244617.2","doi-asserted-by":"crossref","first-page":"320","DOI":"10.5455\/medarh.2017.71.320-324","article-title":"Complications after ileal urinary derivations","volume":"71","author":"Prcic","year":"2017","journal-title":"Med Arch"},{"key":"2025082708454674000_14.12.e244617.3","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1089\/cren.2016.0042","article-title":"Endoscopic treatment of stump leakage related to the ileal conduit","volume":"2","author":"Odemis","year":"2016","journal-title":"J Endourol Case Rep"},{"key":"2025082708454674000_14.12.e244617.4","unstructured":"Whitmore WF . Total cystectomy. In: Cooper EH , Williams RE , eds. The biology and clinical management of bladder cancer. Oxford, UK: Blackwell Scientific Publications, 1975: 193\u2013227."},{"key":"2025082708454674000_14.12.e244617.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.09.008"},{"key":"2025082708454674000_14.12.e244617.6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/323157","article-title":"Complications of radical cystectomy and orthotopic reconstruction","volume":"2015","author":"Tan","year":"2015","journal-title":"Adv Urol"},{"key":"2025082708454674000_14.12.e244617.7","doi-asserted-by":"crossref","DOI":"10.1186\/s12894-019-0564-3","article-title":"Conservative treatment for urinary fistula following ileal conduit urinary diversion: a simple method","volume":"19","author":"Ye","year":"2019","journal-title":"BMC Urol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244617","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:45:56Z","timestamp":1756309556000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244617"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":7,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,12,30]]},"published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1136\/bcr-2021-244617"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244617","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}