{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:36Z","timestamp":1787775756222,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Urethrovesical anastomotic leakage (UVAL) is a well-documented early complication following radical prostatectomy. While low-volume leaks are often self-limiting, persistent high-volume leaks (&gt;300 mL\/day), where most urine bypasses the catheter, may require invasive interventions. We report the case of a 58-year-old male with prostate adenocarcinoma who developed high-volume UVAL after undergoing laparoscopic radical prostatectomy, which was unresponsive to conservative measures. A side-fenestrated catheter was placed under local anesthesia via cystoscopy on postoperative day 2, leading to rapid resolution of the leak. The patient was subsequently discharged on postoperative day 4 following drain removal. This case highlights the effectiveness of a simple, minimally invasive side-fenestrated catheter approach for managing UVAL, offering an alternative to more invasive interventions such as bilateral percutaneous nephrostomy, suprapubic catheter placement, or even surgical revision of the urethrovesical anastomosis.<\/jats:p>","DOI":"10.4103\/njcp.njcp_795_24","type":"journal-article","created":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T23:00:18Z","timestamp":1745794818000},"page":"561-563","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Simple but Often Neglected Technique for Managing Prolonged Urinary Leakage from Urethrovesical Anastomosis: The Side-Fenestrated Catheter Approach"],"prefix":"10.4103","volume":"28","author":[{"given":"F","family":"Bicaklioglu","sequence":"first","affiliation":[{"name":"Department of Urology, Kartal Dr. L\u00fctfi K\u0131rdar City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,26]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1007\/s00120-011-2646-z","article-title":"Algorithmus zur behandlung von anastomoseninsuffizienzen nach laparoskopischer prostatektomie","volume":"50","author":"Do","year":"2011","journal-title":"Urologe A"},{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.juro.2012.03.126","article-title":"All you need to know about urethrovesical anastomotic urinary leakage following radical prostatectomy","volume":"188","author":"Tyritzis","year":"2012","journal-title":"J Urol"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"2452","DOI":"10.1016\/j.juro.2010.08.014","article-title":"Persistent vesicourethral anastomotic leak after radical prostatectomy: A novel endoscopic solution","volume":"184","author":"Yossepowitch","year":"2010","journal-title":"J Urol"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"2366","DOI":"10.1097\/01.ju.0000124305.34988.a9","article-title":"Continuous needle vented foley catheter suction for urinary leak after radical prostatectomy","volume":"171","author":"Moinzadeh","year":"2004","journal-title":"J Urol"},{"key":"R5-20260423","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1016\/j.urology.2008.03.026","article-title":"Nephroureteral stent on suction for urethrovesical anastomotic leak after robot-assisted laparoscopic radical prostatectomy","volume":"73","author":"Shah","year":"2009","journal-title":"Urology"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1002\/bjs.1800601007","article-title":"Observations on the treatment of traumatic urethral injuries and the value of the fenestrated urethral catheter","volume":"60","author":"Turner-Warwick","year":"1973","journal-title":"Br J Surg"},{"key":"R7-20260423","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3109\/21681805.2013.777365","article-title":"Side-fenestrated catheter decreases leakage at the urethrovesical anastomosis after robot-assisted laparoscopic radical prostatectomy","volume":"48","author":"Riikonen","year":"2014","journal-title":"Scand J Urol"},{"key":"R8-20260423","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1159\/000084426","article-title":"Management of prolonged urinary leakage at the urethro-vesical anastomosis","volume":"74","author":"Kylm\u00e4l\u00e4","year":"2005","journal-title":"Urol Int"},{"key":"R9-20260423","first-page":"28","article-title":"Management of anastomosis leakage post-RALP: A simple trick for a complex situation","volume":"12","author":"Diamand","year":"2017","journal-title":"Urol Case Rep"}],"container-title":["Nigerian Journal of Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_795_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:41:34Z","timestamp":1787773294000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njcp.njcp_795_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/njcp.njcp_795_24","relation":{},"ISSN":["1119-3077","2229-7731"],"issn-type":[{"value":"1119-3077","type":"print"},{"value":"2229-7731","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-11-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}