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Case Reports
. 2019 Mar-Apr;45(2):400-401.
doi: 10.1590/S1677-5538.IBJU.2018.0209.

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

Pablo Garrido-Abad  1 , Manuel Ramírez-Sánchez  1 , Luis García-Martín  1 , Manuel Fernández-Arjona  1
Affiliations
Case Reports

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

Pablo Garrido-Abad et al. Int Braz J Urol. 2019 Mar-Apr.
No abstract available

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1. Voiding cystourethrography revealed small contained urethral leaks (black arrows).
Figure 2
Figure 2. Endoscopic view showing an orifice of the fistula (white arrow) located in the anterolateral region of the prostatic fossa.
Figure 3
Figure 3. Pelvic MRI with fat suppression technique. (A) Axial T2 - weighted demonstrates the presence of urine (arrow) through the pubic symphysis (P). (B) Sagittal T2 - weighted shows anterior prostate - symphyseal fistula (arrow). (C) Axial T2 - weighted image displays edematous changes within both pubic bones, most markedly on right side (asterisk).
See this image and copyright information in PMC

References

    1. Osterberg EC, Vanni AJ, Gaither TW, Awad MA, Broghammer JA, Pate SC, et al. Radiation-induced complex anterior urinary fistulation for prostate cancer: a retrospective multicenter study from the Trauma and Urologic Reconstruction Network of Surgeons (TURNS) World J Urol. 2017;35:1037–1043. - PubMed
    1. Sanchez A, Rodríguez D, Cheng JS, McGovern FJ, Tabatabaei S. Prostato-symphyseal fistula after photoselective vaporization of the prostate: case series and literature review of a rare complication. Urology. 2015;85:172–177. - PubMed
    1. Plateau B, Ruivard M, Montoriol PF. Prostatosymphyseal fistula and osteomyelitis pubis following transurethral resection of the prostate: CT and MRI findings. J Med Imaging Radiat Oncol. 2015;59:713–715. - PubMed

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