Recurrent symphysitis culminating in pelvic ring fracture after hyperextended transurethral prostate resection and vaporization with symphysis erosion: a case report

J Med Case Rep. 2017 May 19;11(1):141. doi: 10.1186/s13256-017-1292-5.

Abstract

Background: Short-term and long-term complications of transurethral prostate resection can be different in nature. Capsule perforation and subsequent fistulation after resection and electrovaporization is seldom reported in the literature.

Case presentation: Here we report the case of a 79-year-old caucasian man with capsule perforation after transurethral prostate resection and electrovaporization resulting in a severe and recurrent symphysitis and subsequent pelvic ring fracture. The bladder-symphysis fistulation was surgically removed and additional orthopedic surgery could be avoided after definitely solving the urological problem.

Conclusions: Urologists should be aware of rare complications after transurethral resection and electrovaporization of the prostate.

Keywords: Complication; Pelvic ring fracture; Prostate resection; TURP; TUVP.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Capsule Endoscopy / adverse effects
  • Follow-Up Studies
  • Fractures, Bone / etiology
  • Fractures, Bone / surgery*
  • Humans
  • Male
  • Osteitis* / diagnosis
  • Osteitis* / surgery
  • Pelvic Pain / diagnosis*
  • Pelvic Pain / etiology
  • Pelvic Pain / surgery
  • Postoperative Complications / surgery
  • Pubic Symphysis* / surgery
  • Recurrence
  • Transurethral Resection of Prostate* / adverse effects
  • Treatment Outcome
  • Urinary Bladder Fistula / surgery*