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Management of prostatosymphyseal fistula following photoselective vaporization of the prostate:Case series and systematic review of the literature

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Current Urology 2022年第2期16卷 88-93页

作者： Scott D.Lundy Nicholas Hauser Hadley Wood Amr Fergany kenneth angermeier Glickman Urological and Kidney Institute Cleveland ClinicClevelandOHUSA Department of Urology University of MiamiMiamiFLUSA Sebastian River Medical Center SebastianFLUSA

Background:This study is aimed to describe our institutional experience and review the literature to date on prostatosymphyseal fistula(PSF),or puboprostatic fistula,following bladder outlet procedures such as transurethral resection of the prostate(TURP)or laser photoselective vaporization of the prostate(PVP).Materials and methods:We retrospectively queried our institutional experience for management of PSF following PVP performed for symptomatic benign prostatic *** also performed a systematic literature review for PSF following PVP or ***,we describe our surgical approach to the management of this challenging ***:We identified 7 cases of PSF following PVP from our institution,as well as an additional 7 cases following PVP and 9 cases following TURP from literature *** diagnosis of PSF was made between 0.5 and 24 months following PVP,and the most specific symptoms were pubic pain and difficulty *** patients requiring several evaluations before the diagnosis was made using appropriate imaging *** percent of patients required surgical intervention including fistula repair or *** surgical approach has evolved,and we now routinely perform robotic fistula repair with Y-V plasty and interposition flap with excellent ***:Puboprostatic fistula is a rare and poorly described complication of PVP or *** the best of our knowledge,this case series of PSF following PVP represents the largest series to date and doubles the number of reported cases in the *** fistula repair with interposition of either peritoneal or perivesical fat flaps appears to be a viable management strategy.

关键词： Fistula Laser Prostatosymphyseal fistula Puboprostatic fistula Reconstructive surgery

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