Levator Ani Necrosis: An Exceptional Complication Occurring after "High Intensity Focused Ultrasound" of the Prostate.
High intensity focused ultrasound (HIFU) is a minimally invasive treatment option that might be considered in the management of localized prostate cancer. It is a well-tolerated treatment with few minor urologic complications and no major toxicities. In this paper, we report to our knowledge the first case of levator ani necrosis in a patient treated with HIFU, manifesting as sturdy perineal pain, which took years of NSAID intake and serial MRIs to demonstrate partial improvement. Therefore, we regard HIFU as a serious potential treatment option that still requires longer follow-up data before its approval in the personalized treatment panel of prostate cancer.
Department of Onco-Surgery, Jules Bordet Institute, Brussels, Belgium.
Danny
0000-0001-9241-5876
D
Badawy
Department of Oncology, Hotel Dieu de France, Saint Joseph University, Beirut, Lebanon.
Elie
0000-0002-7906-0991
E
El Rassy
Department of Urology, Hotel Dieu de France, Saint Joseph University, Beirut, Lebanon.
Fouad
0000-0002-8291-4302
F
Aoun
Department of Urology, Jules Bordet Institute, Brussels, Belgium.
Roland
R
Van Velthoven
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