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. 2015:2015:582705.
doi: 10.1155/2015/582705. Epub 2015 Oct 20.

Prostatosymphyseal Fistula Treated by Robotic Assisted Radical Prostatectomy

Lucy Whelan  1 , Emma Mullarkey  1 , Henry H Woo  2
Affiliations

Prostatosymphyseal Fistula Treated by Robotic Assisted Radical Prostatectomy

Lucy Whelan et al. Case Rep Urol. 2015.

Abstract

This case report documents a rare complication of prostate resection following a Greenlight laser procedure. The 75-year-old gentleman involved underwent photoselective vaporisation of the prostate (PVP) for clinically benign prostatic obstruction. Subsequent to PVP, the patient experienced recurrent macroscopic haematuria and pubic pain. Investigations confirmed the presence of a prostate-symphyseal fistula, a rare complication of PVP. We believe this to be the first reported case of successful treatment with robotic assisted radical prostatectomy.

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Figures

Figure 1
Figure 1
Images illustrate communication of anterior prostate and pubic symphysis. (a) is a midsagittal T2 weighted MRI without fat saturation. (b) is an axial T2 weighted MRI with fat saturation.
Figure 2
Figure 2
Operative view of prostatosymphyseal fistula. Following division of communication between the prostate and symphysis pubis, a large defect in the anterior prostate (A) is seen, exposing the urethral catheter. The symphysis pubis cartilage has been completely excavated (B).
See this image and copyright information in PMC

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