Abstract
This case report documents a rare complication of prostate resection following a Greenlight laser procedure. The 75-year-old gentleman involved underwent photoselective vaporisation of the prostate (PVP) for clinically benign prostatic obstruction. Subsequent to PVP, the patient experienced recurrent macroscopic haematuria and pubic pain. Investigations confirmed the presence of a prostate-symphyseal fistula, a rare complication of PVP. We believe this to be the first reported case of successful treatment with robotic assisted radical prostatectomy.
Highlights
Photoselective vaporisation of the prostate (PVP) has become an established treatment for the lower urinary tract symptoms due to benign prostatic hyperplasia (BPH)
Prostatosymphyseal fistula formation is a rare complication of any form of transurethral prostate surgery for BPH and a literature search finds only eight reported such cases [2,3,4,5]
A 71-year-old man underwent PVP following a long history of lower urinary symptoms and failed drug treatment with tamsulosin
Summary
Photoselective vaporisation of the prostate (PVP) has become an established treatment for the lower urinary tract symptoms due to benign prostatic hyperplasia (BPH). A metaanalysis of randomised controlled trials has demonstrated equivalent functional outcomes to transurethral resection of the prostate but a complication profile in favour of PVP [1]. Prostatosymphyseal fistula formation is a rare complication of any form of transurethral prostate surgery for BPH and a literature search finds only eight reported such cases [2,3,4,5]. Whilst treatment has predominantly required surgery, we believe this to be the first reported case of treatment with robotic assisted radical prostatectomy
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