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Case report
Endourological management of osteitis pubis secondary to a calcified prostate ossifying into the pubic symphysis
  1. Vinayak Madhusoodanan,
  2. Jonathan E Katz,
  3. Abhishek Bhat and
  4. Hemendra N Shah
  1. Urology, University of Miami Miller School of Medicine, Miami, Florida, USA
  1. Correspondence to Dr Hemendra N Shah; drhemendrashah{at}yahoo.co.in

Abstract

Osteitis pubis is a rare but known complication of multiple urological procedures including transurethral resection of the prostate, prostate cryotherapy, photovaporisation of the prostate, high-intensity focused ultrasound treatment of the prostate, prostatectomy and cystectomy, especially in the context of salvage therapy for prostate cancer. Patients can present with significant often intractable pain secondary to this condition. We report a case of a patient with a history of radiation therapy and salvage cryoablation who presented with osteitis pubis, calcification of the prostatic tissue bed which was inseparable from the pubic symphysis. Treatment with salvage holmium laser enucleation of the prostate and holmium lithotripsy was demonstrated to be effective for palliative management of osteitis pubis from prostatic calcification ossifying into the pubic symphysis.

  • urology
  • prostate
  • urological surgery

https://doi.org/10.1136/bcr-2021-242009

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    Footnotes

    • Twitter @vmadhu_med

    • Contributors VM: Contributed to initial drafting of the manuscript, critical revision of content and final approval of the manuscript. JEK: Contributed to drafting of the manuscript and critical revision of content. AB: Contributed to drafting of the manuscript and critical revision of content. HNS: Contributed to conception, initial drafting of the manuscript, acquisition of data and design, critical revision of content and final approval of the manuscript. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.