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Published on: April 14, 2026
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
Abstract:
A recto-peritoneal fistula is an extremely rare complication after prostate biopsy. We report herein on a peritonitis arising from a recto-peritoneal fistula 5 days after undergoing prostate biopsy. To our knowledge, this is the first case of recto-peritoneal fistula following transperineal needle biopsy of the prostate in the published literature.
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.