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Related Experiment Videos

Giant prostatic fossa with misleading radiographic features.

A Stenzl1, G J Fuchs

  • 1Division of Urology, University of California-Los Angeles School of Medicine 90024.

Urologic Radiology
|January 1, 1989
PubMed
Summary

A rare long-term complication of prostatic capsule perforation during transurethral resection of the prostate involves calcifications. These calcifications in a large prostatic fossa can cause confusing imaging results.

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Area of Science:

  • Urology
  • Surgical Complications
  • Medical Imaging

Background:

  • Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
  • Prostatic capsule perforation is a known, though infrequent, intraoperative complication of TURP.
  • Long-term sequelae of such perforations are not well-documented.

Observation:

  • A case is presented involving a patient with a history of TURP.
  • The patient presented with symptoms attributed to calcifications within a significantly enlarged prostatic fossa.
  • Initial radiological assessments were confounded by these calcifications.

Findings:

  • The prostatic calcifications were identified as a long-term consequence of a prior prostatic capsule perforation during TURP.
  • The size and location of the calcifications created a 'giant prostatic fossa' appearance.
  • The calcifications mimicked other pathologies on initial imaging studies.

Implications:

  • This case highlights the importance of considering remote surgical history when interpreting imaging findings.
  • Understanding long-term complications like prostatic calcification is crucial for accurate diagnosis and patient management.
  • Further research may be warranted to elucidate the incidence and clinical impact of prostatic capsule perforation sequelae.

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