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

Year: 2024

Type: article

Abstract: 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.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2024.102867

Authors: B.J. Stewart, S.P. McCombie, D. Hayne

Institutions: Fiona Stanley Hospital, The University of Western Australia

Language: English

Topic: Prostate Cancer Diagnosis and Treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,060