Urology Case Reports (May 2021)

A thigh urinary fistula following radical prostatectomy and external beam radiation therapy for prostate cancer: a case report

  • Stefania Zamboni,
  • Chiara Lonati,
  • Giuseppe Mirabella,
  • Maria Furlan,
  • Barbara Frittoli,
  • Claudio Simeone

Journal volume & issue
Vol. 36
p. 101558

Abstract

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Urinary fistula is a rare but severe complication which could occur after radiation therapy for prostate cancer (PCa). We describe the case of an inner thigh urinary fistula in a patient treated with radical prostatectomy and adjuvant radiation therapy for PCa. A 76-year-old man presented to the emergency room complaining of right thigh swelling, pain and fever. Computed tomography scan and urethra-cystography showed bladder-neck leakage and fluid collection, extended from the pelvis to the right inner thigh. Patient was treated with ultrasound-guided drainage and intravenous antibiotics. Timely diagnosis and treatment are necessary in order to reduce possible evolution to necrotizing fasciitis.

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