Gelatin Sponge (Spongostan (R)) And N-Butyl-2-Cyanoacrylate: Utility On Percutaneous Treatment Of Persistent Urinary Leakage After Partial Nephrectomy. Case Report And Review Of The Literature

Introduction: Percutaneous treatment of persistent urinary fistula after partial nephrectomy using N-butyl-2-cyanoactylate and gelatin sponge (Spongostan (R)) is an effective and relatively non-invasive procedure that should be considered when a conservative approach fails. Three successful cases of percutaneous etnbolization by using N-butyl-2-cyanoacrylate have been reported in the literature. To our knowledge, the use of Spongostan for the treatment of urinary fistula after partial nephrectomy has not been previously described.Case report: We present the case of an 82-year old man who underwent percutaneous closure of a urinary fistula following partial nephrectomy by using gelatin sponge (Spongostan (R)) and N-butyl-2-cyanoacrylate.Conclusions: We encourage the use of this technique in selected cases. Collaboration amongst urologists and skilled interventional radiologist is strongly recommended.