A rare case of urosymphyseal fistula following robot-assisted radical prostatectomy.

Viliam Kubas, Terézia Hrubá, Vladimír Baláž, Jozef Babeľa, Natália Farraová, Boris Hudec, Jana Poláková Mištinová

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In one paragraph

Article in Urology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Recurrent Pubic Osteomyelitis and Urosymphyseal Fistula in a Prostate Cancer Survivor: A Multidisciplinary Management Challenge.Journal of community hospital internal medicine perspectives · 2026
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5 · Who and what money

Authors and funding

7 authors.

Viliam KubasUrology Clinic, F. D. Roosevelt University Hospital, Námestie L. Svobodu 1, 97517, Banská Bystrica, Slovakia.

Terézia HrubáUrology Clinic, F. D. Roosevelt University Hospital, Námestie L. Svobodu 1, 97517, Banská Bystrica, Slovakia.

Vladimír BalážUrology Clinic, F. D. Roosevelt University Hospital, Námestie L. Svobodu 1, 97517, Banská Bystrica, Slovakia.

Jozef BabeľaUrology Clinic, F. D. Roosevelt University Hospital, Námestie L. Svobodu 1, 97517, Banská Bystrica, Slovakia.

Natália FarraováJessenius a.s., Štefánikova 72/46A, 94901, Nitra, Slovakia.

Boris HudecUrology Clinic, F. D. Roosevelt University Hospital, Námestie L. Svobodu 1, 97517, Banská Bystrica, Slovakia.

Jana Poláková MištinováRadiology Clinic, Comenius University, Limbová 5, 83305, Bratislava, Slovakia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urosymphyseal fistula (USF) is a rare but serious complication following robot-assisted radical prostatectomy (RARP), frequently associated with osteomyelitis of the pubic symphysis and causing significant morbidity. We present a case of a 66-year-old patient who developed USF with osteomyelitis after RARP, characterized by persistent pelvic pain and urinary symptoms. MRI was crucial in diagnosing the fistula and osteomyelitis, guiding a successful multidisciplinary intervention, including robotic-assisted surgery. Early diagnosis, advanced imaging modalities, and collaborative surgical management remain essential for optimal patient outcomes. Continued advancements in diagnostic and therapeutic strategies are necessary for effective management of USF.

Indexed as

Case reportMRIProstate cancerRobotic-assisted radical prostatectomyUrosymphyseal fistula

Identifiers

PMID40486098

DOI10.1016/j.eucr.2025.103066

PMCPMC12145555

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