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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.

DOI:10.7759/cureus.24032
PMID:35463559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9001086/
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/f80298264918/cureus-0014-00000024032-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/602724d613a0/cureus-0014-00000024032-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/c94dc2483aef/cureus-0014-00000024032-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/06b521712eee/cureus-0014-00000024032-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/f80298264918/cureus-0014-00000024032-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/602724d613a0/cureus-0014-00000024032-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/c94dc2483aef/cureus-0014-00000024032-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/06b521712eee/cureus-0014-00000024032-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/9001086/f80298264918/cureus-0014-00000024032-i04.jpg

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引用本文的文献

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本文引用的文献

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Prostatosymphyseal Fistula After Photoselective Vaporization of the Prostate: A Very Rare Complication of a Transurethral Surgery.前列腺光选择性汽化术后前列腺耻骨联合瘘：一种经尿道手术的极为罕见的并发症。
Cureus. 2020 Apr 16;12(4):e7703. doi: 10.7759/cureus.7703.
2
A rare case of prostato - symphyseal fistula after GreenLight photovaporization of the prostate.一例前列腺绿激光汽化术后罕见的前列腺-耻骨联合瘘病例。
Int Braz J Urol. 2019 Mar-Apr;45(2):400-401. doi: 10.1590/S1677-5538.IBJU.2018.0209.
3
Prostatosymphyseal fistula after transurethral resection of the prostate (TURP), a rare and difficult to recognize complication.
经尿道前列腺切除术（TURP）后前列腺耻骨联合瘘，一种罕见且难以识别的并发症。
Urol Case Rep. 2018 Jul 27;21:70-72. doi: 10.1016/j.eucr.2018.07.018. eCollection 2018 Nov.
4
Osteitis pubis after standard bipolar TURP surgery: insight into aetiology, diagnosis, management and prevention of this rarity.标准双极经尿道前列腺电切术后耻骨炎：对这种罕见病症的病因、诊断、治疗及预防的深入探讨
BMJ Case Rep. 2016 Jan 4;2016:bcr2015212420. doi: 10.1136/bcr-2015-212420.
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Fistulation into the Pubic Symphysis after Treatment of Prostate Cancer: An Important and Surgically Correctable Complication.前列腺癌治疗后耻骨联合瘘管形成：一种重要且可通过手术矫正的并发症。
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Urology. 2015 Jan;85(1):172-7. doi: 10.1016/j.urology.2014.09.028. Epub 2014 Nov 13.