经尿道前列腺切除及汽化术后耻骨联合反复发炎，最终因耻骨联合侵蚀导致骨盆环骨折并过度伸展：一例报告
Recurrent symphysitis culminating in pelvic ring fracture after hyperextended transurethral prostate resection and vaporization with symphysis erosion: a case report.
作者信息
Gerullis Holger, Eitzen Arne, Uphoff Jens, Daaboul Fadi, Chavan Ajay, Ermert Leander, Wawroschek Friedhelm, Winter Alexander
机构信息
School of Medicine and Health Sciences, University Hospital for Urology, Klinikum Oldenburg, Carl von Ossietzky University Oldenburg, Rahel-Straus-Straße 10, 26133, Oldenburg, Germany.
Department of Diagnostic and Interventional Radiology, Klinikum Oldenburg, Oldenburg, Germany.
出版信息
J Med Case Rep. 2017 May 19;11(1):141. doi: 10.1186/s13256-017-1292-5.
BACKGROUND
Short-term and long-term complications of transurethral prostate resection can be different in nature. Capsule perforation and subsequent fistulation after resection and electrovaporization is seldom reported in the literature.
CASE PRESENTATION
Here we report the case of a 79-year-old caucasian man with capsule perforation after transurethral prostate resection and electrovaporization resulting in a severe and recurrent symphysitis and subsequent pelvic ring fracture. The bladder-symphysis fistulation was surgically removed and additional orthopedic surgery could be avoided after definitely solving the urological problem.
CONCLUSIONS
Urologists should be aware of rare complications after transurethral resection and electrovaporization of the prostate.
背景
经尿道前列腺切除术的短期和长期并发症在性质上可能有所不同。文献中很少报道切除及电汽化术后的包膜穿孔和随后的瘘管形成。
病例报告
在此，我们报告一例79岁白种男性患者，经尿道前列腺切除及电汽化术后发生包膜穿孔，导致严重且反复的耻骨炎，随后出现骨盆环骨折。膀胱-耻骨联合瘘通过手术切除，在彻底解决泌尿系统问题后避免了额外的骨科手术。
结论
泌尿外科医生应意识到经尿道前列腺切除及电汽化术后的罕见并发症。
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