Bloody otorrhea after robotically assisted laparoscopic prostatectomy

Andrew Cohen, Rodrigo Ledezma-Rojas, Ernest Mhoon, Gregory Zagaja

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Bilateral bloody otorrhea is a rare complication of surgery and to our knowledge a previously unpublished event. We review the case of a 50-year-old male who underwent robotic-assisted laparoscopic radical prostatectomy (RALP) with bilateral lymphadenectomy for Gleason's Score 4 + 4 = 8 prostate cancer. Bloody discharge from bilateral auditory canals was noted upon removal of the surgical drapes. Otolaryngologic examination revealed bilateral anterior auditory canal hematomas without any loss of hearing. Steep Trendelenburg position in combination with perioperative anticoagulants may have contributed to this complication. Given the rarity of this event no specific risk factors are identified.

Original languageEnglish (US)
Pages (from-to)7834-7835
Number of pages2
JournalCanadian Journal of Urology
Issue number3
StatePublished - Jan 1 2015
Externally publishedYes


  • Otorrhea
  • Prostatectomy
  • Robotics
  • Surgical complications
  • Trendelenburg

ASJC Scopus subject areas

  • Urology


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