Urosymphyseal fistulas and their radiographic features: A case report

Urosymphyseal fistulas are a rare but serious complication of prostate cancer treatment, particularly in patients with a history of pelvic radiotherapy. Diagnosis is often delayed due to the nonspecific nature of presenting symptoms. We report the case of a 67-year-old man who developed a urosymphyseal fistula following radiotherapy and multiple endoscopic bladder interventions. This report highlights the characteristic radiographic features observed on computed tomography and magnetic resonance imaging. Increased awareness of urosymphyseal fistulas, combined with the use of targeted imaging modalities, is essential for prompt diagnosis and effective management.