Prostatic capsular perforation with extravasation resulting in pubic osteomyelitis: a rare complication of KTP laser prostatectomy.
The use of lasers for management of benign prostatic hyperplasia has evolved greatly over the last several years. The 120-W potassium-titanyl-phosphate laser, introduced in 2006 as the GreenLight HPS, boasts a 50% improvement in power over the 80-W laser with theoretical benefit of greater vaporization ability and decreased surgery times. Because of higher energy applied to the tissue, there is also a theoretical risk of increased complications related to capsular perforation or injury to adjacent organs. We report a case involving perforation of the anterior prostatic capsule leading to extravasation and osteomyelitis of the pubic bone.
Kaplon
Daniel M
DM
Department of Surgery, Division of Urology, The Warren Alpert School of Medicine of Brown University, Providence, Rhode Island 02905, USA. kaplonda@gmail.com
Iannotti
Harry
H
D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications / Q000209:etiology*; D006801:Humans; D053844:Lasers, Solid-State / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000150:complications / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D011467:Prostate / Q000473:pathology*; D011468:Prostatectomy / Q000009:adverse effects*; D011630:Pubic Bone / Q000473:pathology*