Cystectomy for bilateral thigh fistulation after salvage radiotherapy for prostate cancer: A case report

Fistulation following radiotherapy for prostate cancer is a rare occurrence that can have devastating consequences and often occurs after instrumentation. We present a 74-year-old male who underwent cystectomy for bilateral thigh fistulation years after radical prostatectomy and salvage radiotherapy for prostate cancer. MRI and CT cystogram confirmed fistulation from the anterior bladder tracking to bilateral thigh collections. Formal urinary diversion was performed with cystectomy and ileal conduit. Pubic or thigh pain, the inability to walk or evidence of local wound infection in someone who has previously had prostate radiotherapy, should alert the clinician to the possible presence of urethral fistulation.