title: Pubic bone osteomyelitis after salvage high-intensity focused ultrasound for prostate cancer.
abstract: High-intensity focused ultrasound can be used for the primary treatment of prostate cancer and biochemical recurrence after radical prostatectomy or radiation. Complications of high-intensity focused ultrasound include urinary retention, urethral stenosis, stress incontinence, urinary tract infections, dysuria, impotence, and rarely, rectourethral or rectovesicular fistula. We describe a patient presenting with urinary retention, urinary tract infections and intermittent stress incontinence, later found to be associated with pubic bone osteomyelitis stemming from a prostatopubic fistula.
authors.affiliation: Philadelphia College of Osteopathic Medicine, Philadelphia, Pa., USA.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Robison
authors.affiliation: Department of Urology, Einstein Medical Center, Philadelphia, Pa., USA.
authors.forename: Ronak A
authors.initials: RA
authors.lastname: Gor
authors.affiliation: Traumatic and Reconstructive Urology, Einstein Medical Center, Philadelphia, Pa., USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Metro
keywords: High-intensity focused ultrasound; Prostate cancer; Salvage therapy