NYMC Faculty Publications

Delayed Urinary Bladder Perforation in a Hostile Post-Radiation Pelvis

Author Type(s)

Faculty

DOI

10.1080/00015458.2020.1871288

Journal Title

Acta Chirurgica Belgica

First Page

152

Last Page

153

Document Type

Article

Publication Date

4-2021

Department

Surgery

Abstract

The radiation-induced injury to normal tissue is a well-described phenomenon that incites tissue hypoxia, vascular damage, and parenchymal cell death. In addition to the morbidity caused by the radiation-induced injury itself, surgical management adds to the overall morbidity in these patients. We herein present a case demonstrating challenges of surgical management of urological complications in a radiated pelvis including delayed bladder perforation, recurrence of vesicovaginal fistula, and ureteral stricture. Nonoperative management strategies should be exhausted prior to surgical intervention.

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