[OSTEOMYELITIS PUBIS AFTER RETROPERITONEOSCOPIC RADICAL PROSTATECTOMY TRIGGERED BY EXERCISE: A CASE REPORT]

Area of Science:

• Urology
• Infectious Diseases
• Surgical Complications

Background:

• Osteomyelitis pubis is an uncommon but serious complication following radical prostate cancer surgery.
• Radical prostatectomy, while effective for localized prostate cancer, can lead to various postoperative complications.
• Early recognition and appropriate management are crucial for favorable outcomes.

Purpose of the Study:

• To report a rare case of osteomyelitis pubis following retroperitoneoscopic radical prostatectomy.
• To discuss the diagnostic challenges and treatment strategies for this specific complication.
• To highlight the successful management of a patient with osteomyelitis pubis.

Main Methods:

• A 70-year-old male patient underwent retroperitoneoscopic radical prostatectomy for localized prostate cancer.
• Postoperatively, the patient developed symptoms suggestive of osteomyelitis pubis.
• Diagnosis was confirmed via pelvic MRI and urine culture; treatment involved targeted antibiotic therapy.

Main Results:

• The patient was initially treated with oral levofloxacin hydrate for Pseudomonas aeruginosa infection, but experienced treatment discontinuation due to side effects.
• Intravenous tazobactam piperacillin hydrate was administered for a total of 4 weeks, leading to symptom resolution.
• The patient remained disease-free from osteomyelitis pubis, urinary incontinence, and recurrent prostate cancer for 1.5 years post-discharge.

Conclusions:

• Osteomyelitis pubis can occur after radical prostatectomy and requires prompt diagnosis and management.
• Intravenous antibiotic therapy, such as tazobactam piperacillin hydrate, can be effective in treating this rare complication.
• Multidisciplinary management is essential for achieving successful patient outcomes and preventing recurrence.