Osteitis Pubis After TURP: A Rare Complication Difficult to Recognize.

Area of Science:

• Urology
• Surgical Complications
• Medical Imaging

Background:

• Transurethral resection of the prostate (TURP) is a common urologic procedure.
• Rare complications can arise from TURP, leading to significant patient morbidity if not promptly diagnosed.
• Prostatosymphyseal fistula is an exceptionally rare complication following TURP.

Observation:

• A rare prostatosymphyseal fistula occurred post-TURP.
• Diagnosis was delayed for 5 months, requiring MRI and fistulography.
• Pubic osteitis with severe pain necessitated decompressive surgery.

Findings:

• Escherichia coli was identified in cultures.
• The prostatosymphyseal fistula was successfully treated without major surgery.
• Treatment involved bladder drainage and prolonged antibiotic therapy.

Implications:

• Highlights the importance of recognizing rare TURP complications.
• Demonstrates the efficacy of non-surgical management for prostatosymphyseal fistulas.
• Emphasizes the role of advanced imaging like MRI and fistulography in diagnosis.