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Conservative Management of a Prostate-Symphyseal Fistula With Osteomyelitis: A Case Report and Management of a Rare
Gesine Peters1, Joshua Winston2, Fadi Nuwayhid2
1University of Tasmania, School of Medicine, Royal Hobart Hospital, Hobart, AUS.
Abstract:
This article presents the case of a 77-year old male who was found to have a prostate-symphyseal fistula with associated pubic symphysis osteomyelitis. He had a history of previous radiation for prostate cancer and two transurethral resections of the prostate. He was managed conservatively with long-term antibiotics and urinary diversion as he was a suboptimal surgical candidate. To our knowledge, this case report is the first reported successful conservative management of a prostate-symphyseal fistula.
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