title: Osteitis pubis after standard bipolar TURP surgery: insight into aetiology, diagnosis, management and prevention of this rarity.
abstract: Transurethral resection of the prostate (TURP) surgery is standard treatment for symptomatic benign prostatic hyperplasia when medical therapy has failed. We describe a rare case of osteitis pubis secondary to a prostato-symphocoele sinus after standard bipolar TURP surgery. We also discuss diagnostic techniques and management strategies, and provide an insight into the aetiology of this rare phenomenon. Conservative management with intravenous antibiotics and an indwelling catheter was successful in our case. Treatment in more severe cases may include laparotomy with peritoneal or omental interposition or open retropubic radical prostatectomy to remove the entire sinus tract.
authors.affiliation: Department of Urology, Beaumont Hospital, Dublin, Ireland.
authors.forename: Niall F
authors.initials: NF
authors.lastname: Davis
authors.affiliation: Tallaght Hospital, Dublin 24, Ireland.
authors.forename: William
authors.initials: W
authors.lastname: Torregiani
authors.affiliation: Tallaght Hospital, Dublin 24, Ireland.
authors.forename: John
authors.initials: J
authors.lastname: Thornhill
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010000:Osteitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D011183:Postoperative Complications; D011470:Prostatic Hyperplasia / Q000601:surgery*; D011630:Pubic Bone; D020728:Transurethral Resection of Prostate / Q000379:methods; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014546:Urinary Catheterization; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D004318:Doxycycline