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伴有骨髓炎的前列腺-耻骨联合瘘的保守治疗:一例报告及罕见并发症的处理

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

作者信息

Peters Gesine, Winston Joshua, Nuwayhid Fadi, Pointon Owen

机构信息

University of Tasmania, School of Medicine, Royal Hobart Hospital, Hobart, AUS.

Department of Urology, Royal Hobart Hospital, Hobart, AUS.

出版信息

Cureus. 2022 Apr 11;14(4):e24032. doi: 10.7759/cureus.24032. eCollection 2022 Apr.

Abstract

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.

摘要

本文介绍了一名77岁男性的病例,该患者被发现患有前列腺-耻骨联合瘘并伴有耻骨联合骨髓炎。他既往有前列腺癌放疗史及两次经尿道前列腺切除术史。由于他并非理想的手术候选人,因此对其采取了长期抗生素及尿流改道的保守治疗。据我们所知,本病例报告是首例成功保守治疗前列腺-耻骨联合瘘的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/602724d613a0/cureus-0014-00000024032-i01.jpg

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