Conservative Management of a Prostate-Symphyseal Fistula With Osteomyelitis: A Case Report and Management of a Rare Complication.

Peters, Gesine; Winston, Joshua; Nuwayhid, Fadi; Pointon, Owen.

Afiliação

Peters G; University of Tasmania, School of Medicine, Royal Hobart Hospital, Hobart, AUS.
Winston J; Department of Urology, Royal Hobart Hospital, Hobart, AUS.
Nuwayhid F; Department of Urology, Royal Hobart Hospital, Hobart, AUS.
Pointon O; Department of Medical Imaging, Royal Hobart Hospital, Hobart, AUS.

Cureus ; 14(4): e24032, 2022 Apr.

Article em En | MEDLINE | ID: mdl-35463559

ABSTRACT

This article presents the case of a 77-year old male who was found to have a prostate-symphyseal fistula with associated pubic symphysis osteomyelitis. He had a history of previous radiation for prostate cancer and two transurethral resections of the prostate. He was managed conservatively with long-term antibiotics and urinary diversion as he was a suboptimal surgical candidate. To our knowledge, this case report is the first reported successful conservative management of a prostate-symphyseal fistula.

Palavras-chave

conservative management; osteomyelitis; pelvic radiation; prostate-symphyseal fistula; transurethral resection of prostate

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2022 Tipo de documento: Article