Recto-peritoneal fistula following transperineal prostate biopsy

Takeo Nomura1, Hiromitsu Mimata, Shinrou Hata

  • 1Department of Urology, Oita University Faculty of Medicine, Oita, Japan. TAKE@med.oita-u.ac.jp

Insights

A rare recto-peritoneal fistula developed after a prostate biopsy, leading to peritonitis. This case is the first documented instance following a transperineal needle biopsy.

Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Complications

Background:

  • Prostate biopsy is a common procedure for diagnosing prostate cancer.
  • Complications, though rare, can occur and require prompt recognition.

Observation:

  • A patient developed peritonitis five days post-prostate biopsy.
  • The peritonitis was attributed to a recto-peritoneal fistula.

Findings:

  • This case represents the first reported instance of a recto-peritoneal fistula after a transperineal needle biopsy of the prostate.
  • Recto-peritoneal fistula is an extremely rare complication following prostate biopsy.

Implications:

  • Highlights the importance of considering rare fistulous complications after prostate biopsy.
  • May inform diagnostic and management strategies for post-biopsy peritonitis.

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