title: Symphysitis following transrectal biopsy of the prostate.
abstract: Transrectal ultrasound-guided needle biopsy of the prostate is a widely accepted technique to obtain prostatic tissue for histological examination. Severe complications are rarely seen. We report a case of symphysitis causing hospitalization and severe pain and discomfort of the patient. Possible etiologic factors are traumatic osseous lesions and transport of rectal bacteria to the periosseous region. Especially in small prostates, care should be taken to avoid this condition. Prolonged perioperative antibiotic prophylaxis is mandatory.
authors.affiliation: Department of Urology, Ludwig-Maximilians-University, Munich, Germany. christoph.adam@med.uni-muenchen.de
authors.forename: Christoph
authors.initials: C
authors.lastname: Adam
authors.forename: Anno
authors.initials: A
authors.lastname: Graser
authors.forename: Walter
authors.initials: W
authors.lastname: Koch
authors.forename: Matthias
authors.initials: M
authors.lastname: Trottmann
authors.forename: Karl
authors.initials: K
authors.lastname: Rohrmann
authors.forename: Dirk
authors.initials: D
authors.lastname: Zaak
authors.forename: Christian
authors.initials: C
authors.lastname: Stief
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001707:Biopsy, Needle / Q000009:adverse effects*; D002981:Clindamycin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D010000:Osteitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D011471:Prostatic Neoplasms / Q000150:complications / Q000473:pathology; D011631:Pubic Symphysis / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography; D036761:Ultrasound, High-Intensity Focused, Transrectal / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents; D002981:Clindamycin