Delayed Urinary Bladder Perforation in a Hostile Post-Radiation Pelvis
Acta Chirurgica Belgica
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.
Lee, H., Rojas, A., Gachabayov, M., Latifi, R., & Bergamaschi, R. (2021). Delayed Urinary Bladder Perforation in a Hostile Post-Radiation Pelvis. Acta Chirurgica Belgica, 121 (2), 152-153. https://doi.org/10.1080/00015458.2020.1871288