An Unexpected Reason of Urinary Leakage After Radical Cystectomy and Orthotopic Urinary Diversion

We report a 73-year-old man with locally invasive transitional cell carcinoma of the bladder (grade III/III). The patient was treated initially with multidrug chemotherapy, underwent bilateral pelvic lymph node dissection, radical cystectomy, and creation of a Studer pouch. A large and persistent urine leakage caused by a Foley catheter used as an abdominal drain migrated into the created pouch.