Symphysitis following transrectal biopsy of the prostate.
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.
Adam
Christoph
C
Department of Urology, Ludwig-Maximilians-University, Munich, Germany. christoph.adam@med.uni-muenchen.de
Graser
Anno
A
Koch
Walter
W
Trottmann
Matthias
M
Rohrmann
Karl
K
Zaak
Dirk
D
Stief
Christian
C
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*
D000900:Anti-Bacterial Agents; D002981:Clindamycin