Department of Urology, Yale New Haven Hospital, New Haven, Connecticut, USA.
Department of Urology, Yale New Haven Hospital, New Haven, Connecticut, USA
BMJ Case Rep. 2023 Oct 13;16(10):e257637. doi: 10.1136/bcr-2023-257637.
Osteitis pubis is a rare, inflammatory condition involving the pubic symphysis. While osteitis pubis has been reported following many urological procedures, including those addressing bladder outlet obstruction such as transurethral resection of the prostate, it has never been reported after holmium laser enucleation of the prostate (HoLEP). Here, we detail the clinical course of a patient found to have osteitis pubis following HoLEP. This patient presented several weeks after surgery with non-specific, persistent symptoms of groin pain and difficulty ambulating, alerting our clinicians to consider osteitis pubis which was confirmed on MRI of the pelvis. While the majority of osteitis pubis cases are managed with locally invasive techniques, our patient's symptoms were successfully managed conservatively with Foley catheter placement, oral antibiotics and close follow-up. At 9 months postoperative, the patient has reported complete resolution of symptoms and continues to be followed closely.
耻骨炎是一种罕见的、累及耻骨联合的炎症性疾病。虽然耻骨炎在许多泌尿科手术后都有报道，包括治疗膀胱出口梗阻的手术，如经尿道前列腺切除术，但在钬激光前列腺剜除术（HoLEP）后从未有过报道。在这里，我们详细介绍了一位 HoLEP 术后发现耻骨炎的患者的临床经过。该患者在手术后数周出现非特异性、持续的腹股沟疼痛和行走困难等症状，这引起了我们的临床医生警惕耻骨炎的可能性，骨盆 MRI 证实了这一点。虽然大多数耻骨炎病例采用局部侵袭性技术治疗，但我们的患者通过留置 Foley 导管、口服抗生素和密切随访，成功地采用保守方法治疗症状。术后 9 个月，患者报告症状完全缓解，并继续密切随访。
