Unique presentation of urosymphyseal fistula and conservative management.

Authors

Cristian J Salazar V, David A Woodrum, Maximilian Staebler, Matvey Tsivian, Lance A Mynderse, Brian J Davis

Published in

Urology case reports. Volume 68. Pages 103545. Epub Jul 15, 2026.

Abstract

A urosymphyseal fistula is an abnormal connection between the lower urinary tract (typically bladder or proximal urethra) and pubic symphysis. This is an uncommon late complication of prostate cancer treatment, often occurring after pelvic radiation and urethral instrumentation. We report a 79-year-old man who, after external radiotherapy, salvage brachytherapy, and transurethral bladder neck incision, developed a urosymphyseal fistula with urinary tracking into the anterior thigh compartment. Given comorbidities, he was managed conservatively with urinary diversion, percutaneous drainage, and antibiotic therapy. Serial imaging demonstrated nonoperative resolution. This case highlights an unusual clinical presentation and suggests selected patients may avoid extirpative surgery.

PMID:
42502432
Bibliographic data and abstract were imported from PubMed on 26 Jul 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.