A rare case of prostato - symphyseal fistula after GreenLight photovaporization of the prostate

Garrido-Abad, Pablo; Ramírez-Sánchez, Manuel; García-Martín, Luis; Fernández-Arjona, Manuel

doi:10.1590/s1677-5538.ibju.2018.0209

Cited by 4 publications

(7 citation statements)

References 3 publications

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“…Fistula formation following TURP is rare and there have been very few reported cases [1][2][3][4][5][6]. To our knowledge, this is the first paper describing this rare fistula formation between the prostate and pubic symphysis that was successfully conservatively managed, treating the infection and pain caused by this phenomenon.…”

Section: Discussionmentioning

confidence: 86%

“…There is one documented case of successful conservative management of a prostate-lymphocele sinus tract; however, this differs anatomically from this case of prostate-pubic symphysis fistula formation [6]. All other reported cases have either been managed with first-line surgical correction or have trialed conservative management that subsequently failed, leading to future surgical intervention [1][2][3][4][5]. In these cases, surgical management involved surgical excision and closure and was associated with high risks of morbidity and mortality [1,2,4,5].…”

Section: Discussionmentioning

confidence: 91%

“…A prostate-symphyseal fistula is a rare late complication of pelvic radiation and transurethral resections of the prostate (TURPs). There have been very few reported cases of this type of fistula in the literature [1][2][3][4][5], all of which were surgically managed. Our case describes a multidisciplinary approach to conservative management with the involvement of the infectious diseases, orthopedics, urology, physiotherapy, occupational therapy, and community nursing teams.…”

Section: Introductionmentioning

confidence: 99%

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

Peters¹,

Winston²,

Nuwayhid³

et al. 2022

Cureus

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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.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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

Peters¹,

Winston²,

Nuwayhid³

et al. 2022

Cureus

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“…An extensive literature search identified a total of 14 case reports describing 9 cases of PSF following TURP [4][5][6][7][8][9][10][11][12] and 7 cases of PSF following PVP [13][14][15][16][17] (Fig. 3).…”

Section: Systematic Review Of the Literaturementioning

confidence: 99%

“…Since the initial description of a puboprostatic fistula following PVP, a total of 7 cases in the English literature have been reported to date. [13][14][15][16][17] In addition to the above reports, we have treated 7 men to date who developed PSF following PVP. The objective of this case series and systematic review is to summarize the limited published literature for patients presenting with PSF following PVP and to describe an additional 7 cases of PSF following PVP to double the total number of reported cases to date.…”

Section: Introductionmentioning

confidence: 99%

Management of prostatosymphyseal fistula following photoselective vaporization of the prostate: Case series and systematic review of the literature

Lundy¹,

Hauser²,

Wood³

et al. 2022

Current Urology

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Background: This study is aimed to describe our institutional experience and review the literature to date on prostatosymphyseal fistula (PSF), or puboprostatic fistula, following bladder outlet procedures such as transurethral resection of the prostate (TURP) or laser photoselective vaporization of the prostate (PVP). Materials and methods: We retrospectively queried our institutional experience for management of PSF following PVP performed for symptomatic benign prostatic hyperplasia. We also performed a systematic literature review for PSF following PVP or TURP. Finally, we describe our surgical approach to the management of this challenging condition. Results: We identified 7 cases of PSF following PVP from our institution, as well as an additional 7 cases following PVP and 9 cases following TURP from literature review. The diagnosis of PSF was made between 0.5 and 24 months following PVP, and the most specific symptoms were pubic pain and difficulty ambulating. Most patients requiring several evaluations before the diagnosis was made using appropriate imaging studies. Seventy percent of patients required surgical intervention including fistula repair or prostatectomy. Our surgical approach has evolved, and we now routinely perform robotic fistula repair with Y-V plasty and interposition flap with excellent results. Conclusions: Puboprostatic fistula is a rare and poorly described complication of PVP or TURP. To the best of our knowledge, this case series of PSF following PVP represents the largest series to date and doubles the number of reported cases in the literature. Robotic fistula repair with interposition of either peritoneal or perivesical fat flaps appears to be a viable management strategy.

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Uro-symphyseal Fistula: A Systematic Review to Inform a Contemporary, Evidence-based Management Framework

Patel¹,

Mehawed²,

Dunglison³

et al. 2023

Urology

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A rare case of prostato - symphyseal fistula after GreenLight photovaporization of the prostate

Cited by 4 publications

References 3 publications

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

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

Management of prostatosymphyseal fistula following photoselective vaporization of the prostate: Case series and systematic review of the literature

Uro-symphyseal Fistula: A Systematic Review to Inform a Contemporary, Evidence-based Management Framework

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