Suzuki Toru, Fukuda Takahiro, Nishizaki Kosuke, Fukui Koji, Tomono Masato, Matsuo Shohei, Arinobe Sayaka, Wakamatsu Yuta, Sugio Masakazu, Yoshioka Mutsunobu
Department of Urology Takarazuka City Hospital Hyogo Japan.
Department of Urology Chibune General Hospital Osaka Japan.
IJU Case Rep. 2025 Feb 6;8(3):194-197. doi: 10.1002/iju5.12838. eCollection 2025 May.
A case with a rare complication considered to be related to a robot-assisted radical prostatectomy procedure and medication given thereafter is presented.
A 73-year-old male diagnosed with prostate cancer underwent a robot-assisted radical prostatectomy and lymphadenectomy. The medical history included type II diabetes mellitus managed with canagliflozin hydrate. Six months after the operation, the patient was affected by pneumaturia and soft yellowish tissue discharge during micturition. species were detected in urine and soft tissue cultures. Based on a diagnosis of intravesical fungus ball, a transurethral resection was performed. It was considered that partial impairment of vesical blood supply caused by clamping of a branch of the inferior vesical artery during the lymphadenectomy procedure likely contributed to intravesical fungus ball formation.
Awareness of the various arteries supplying vesical blood flow and urogenital infection following sodium-glucose cotransporter-2 inhibitor administration can be beneficial for the attending surgeon.
本文介绍了一例罕见并发症的病例，该并发症被认为与机器人辅助根治性前列腺切除术及术后用药有关。
一名73岁被诊断为前列腺癌的男性接受了机器人辅助根治性前列腺切除术和淋巴结清扫术。病史包括使用水合卡格列净治疗的II型糖尿病。术后六个月，患者出现气尿，排尿时有淡黄色软组织排出。尿液和软组织培养中检测到[具体菌种未给出]。基于膀胱内真菌球的诊断，进行了经尿道切除术。认为淋巴结清扫术中膀胱下动脉分支的钳夹导致膀胱血液供应部分受损可能促成了膀胱内真菌球的形成。
了解供应膀胱血流的各种动脉以及钠-葡萄糖协同转运蛋白-2抑制剂给药后的泌尿生殖系统感染，可能有助于主刀医生。
