Radical Prostatectomy Results in Severe Nerve Damage and Paralysis

Case Overview

This case involves a fifty-five-year-old male patient who underwent a holmium laser enucleation and total prostatectomy procedure and suffered many adverse complications. The patient complained of postoperative leg weakness, with the limited ability to ambulate. After the procedure, the patient continued to suffer from neurapraxia and rhabdomyolysis acutely that contributed to long-term leg weakness issues. The possibility of a nicked nerve during the radical resection procedure was not ruled out. Additionally, the patient underwent further independent medical examinations to uncover a source of the leg weakness.

Questions to the Urology expert and their responses

Is it possible that this injury was linked to the surgical procedure?

Even the careful and knowledgeable spine surgeon will encounter a variety of neurologic complications during and after routine lumbar laminectomy. These include dural and nerve root injuries, cauda equina syndrome, and formation of scar tissue, extradural and intradural (arachnoiditis). The surgeon must be prepared to identify each of these problems and deal with them effectively at the time of the procedure, postoperatively, and during follow-up periods.

About the expert

This expert is fellowship trained in minimally invasive urologic surgery and has extensive experience in robotic urologic surgery, including robotic prostatectomy. As part of his role as attending physician at his current institution, he has trained both residents and fellow physicians in urologic surgical and non-surgical practice. He has also published extensively in disorders pertaining to urologic lesions and bladder pathology.

E-000336

Specialties:

Urology

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