Patient Develops Incontinence Following Branchytherapy

This case involves a 57-year-old male patient from California with a past medical history of recurrent symptomatic strictures. He underwent brachytherapy to treat prostate cancer and developed a urethral stricture for which he had multiple endoscopic interventions. Two years later, he underwent urethroplasty, but a week after the procedure, he presented with wound drainage. The wound was not treated immediately and the entire ventral shaft broke down, including both the skin flap and the overlying skin. The patient is subsequently incontinent.

Question(s) For Expert Witness

  • 1. How often do you perform urethroplasty?
  • 2. Have you ever encountered this complication? If yes, please elaborate.
  • 3. Have you lectured/published on this subject in the past? If yes, please elaborate.

Expert Witness Response E-083258

I specialize in urethroplasty surgery and perform approximately 10-20 per year.


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