Τίτλος:
Prostatosymphyseal Fistula After Photoselective Vaporization of the
Prostate: A Very Rare Complication of a Transurethral Surgery
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Prostatosymphyseal fistula (PSF) is a very rare complication described
after transurethral surgery of the prostate including photoselective
vaporization of the prostate (PVP) with GreenLight (TM) laser (Boston
Scientific, Marlborough, MA). Sporadic cases have also been reported in
the literature as side effects of pelvic radiation therapy. We present a
65-year-old male patient who underwent PVP as an elective procedure for
the treatment of severe lower urinary tract symptoms. The primary
management after the diagnosis of the fistula was conservative but as
this did not result in an expected improvement, the patient underwent
radical prostatectomy as a last resort. PSF formation is the result of
the communication between the anterior capsule of the prostate and the
bladder neck via pubic symphysis and the surrounding tissues. This
condition often leads to either urinoma formation or osteitis pubis. In
the majority of cases, treatment options are complex surgical
reconstruction using flaps or grafts, radical prostatectomy or urinary
diversion as an ultimate solution. The rarity of the complication and
the accompanied atypical signs and symptoms warrant a low threshold for
suspicion so as to diagnose the event early and provide the appropriate
treatment.
Συγγραφείς:
Kapogiannis, Filipos
Fasoulakis, Konstantinos
Tsiampa, Eleni and
Triantafyllou, Spyridon
Fasoulakis, Charalampos
Λέξεις-κλειδιά:
prostatosymphyseal fistula; greenlight laser; radical prostatectomy;
photoselective vaporization
