Article

[A case of osteomyelitis of the pubis after radical prostatectomy: a case report].

Department of Urology, Takarazuka Municipal Hospital.
Hinyokika kiyo. Acta urologica Japonica 08/2009; 55(8):523-6. pp.523-6
Source: PubMed

ABSTRACT A 74-year-old man visited our hospital, because of high prostate specific antigen (PSA). Retropubic radical prostatectomy was performed for prostatic cancer. Suddenly right inguinal lesion pain appeared at 25 days after operation with disturbance of gait. Pelvic magnetic resonance imaging (MRI) demonstrated inflammatory change in right pubic bone, pectineal muscle, adductor muscle, which suggested the diagnosis of osteomyelitis of the pubis. After long-term administration of antibiotic therapy, osteomyelitis of the symphysis pubis and gait possible. There was no recurrence of osteomyelitis of the symphysis pubis at one year after operation. In addition to our case, we review the 8 cases of osteomyelitis of the pubis after radical prostatectomy previously reported in Japanese publications.

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Keywords

74-year-old man
 
8 cases
 
antibiotic therapy
 
inguinal lesion pain
 
Japanese publications
 
long-term administration
 
MRI
 
pectineal muscle
 
Pelvic magnetic resonance imaging
 
prostate specific antigen
 
pubic bone
 
pubis
 
radical prostatectomy
 
Retropubic radical prostatectomy
 
symphysis pubis