Giant lymphocele arising after extraperitoneal laparoscopic radical prostatectomy

Hiroshi Mikami, Keiichi Ito, Hidehiko Yoshii, Takeo Kosaka, Akira Miyajima, Tatsumi Kaji, Tomohiko Asano, Masamichi Hayakawa

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


A 68-year-old male visited our division with an elevation of PSA level. He underwent a needle biopsy of the prostate, and the histopathological diagnosis was poorly differentiated adenocarcinoma (Gleason score 4 + 3). The cancer was clinically diagnosed as T2aN0M0, and he underwent extraperitoneal laparoscopic radical prostatectomy and bilateral pelvic lymphadenectomy. Cystography 14 days after the operation still showed leakage at the vesico-urethral anastomosis and a dumbbell shaped bladder. A few days later, prominence of lower abdomen and a slight swelling of right leg presented with a high fever. Computed tomography revealed a giant lymphocele in the retroperitoneal space. We percutaneously punctured the lymphocele by using ultrasonography, inserted a pigtail catheter, and drained 1,000 ml of lymphatic fluid. After the puncture, sclerotherapy with minocycline was performed four times. Twenty days after the puncture, the lymphocele cavity was found to have shrunken and the pigtail catheter was removed. The lymphocele was diminished and did not recur thereafter.

Original languageEnglish
Pages (from-to)23-27
Number of pages5
JournalActa Urologica Japonica
Issue number1
Publication statusPublished - 2008 Jan 1


  • Drainage
  • Extraperitoneal laparoscopic radical prostatectomy
  • Lymphocele
  • Sclerotherapy

ASJC Scopus subject areas

  • Urology


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