Recurrent symphysitis culminating in pelvic ring fracture after hyperextended transurethral prostate resection and vaporization with symphysis erosion: a case report

• Main Authors: Holger Gerullis, Arne Eitzen, Jens Uphoff, Fadi Daaboul, Ajay Chavan, Leander Ermert, Friedhelm Wawroschek, Alexander Winter
• Format: Article
• Language: English
• Published: BMC 2017-05-01
• Series: Journal of Medical Case Reports
• Subjects: Pelvic ring fracture; Prostate resection; Complication; TURP; TUVP
• Online Access: http://link.springer.com/article/10.1186/s13256-017-1292-5
• ISSN: 1752-1947

Abstract Background Short-term and long-term complications of transurethral prostate resection can be different in nature. Capsule perforation and subsequent fistulation after resection and electrovaporization is seldom reported in the literature. Case presentation Here we report the case of a 79-year-old caucasian man with capsule perforation after transurethral prostate resection and electrovaporization resulting in a severe and recurrent symphysitis and subsequent pelvic ring fracture. The bladder-symphysis fistulation was surgically removed and additional orthopedic surgery could be avoided after definitely solving the urological problem. Conclusions Urologists should be aware of rare complications after transurethral resection and electrovaporization of the prostate.