Pubovesical Fistula: A Rare Complication After Treatment of Prostate Cancer
Matsushita K et al. – The treatment of prostate cancer with radiotherapy (RT) followed by the development of bladder neck contracture (BNC) requiring endoscopic intervention appears to be associated with pubovesical fistula (PVF) development Despite conservative measures, patients who developed PVF often required cystectomy with urinary diversion. To avoid PVF, care should be taken during endoscopic intervention for BNC in patients who have received RT for prostate cancer. PVF should be on the differential diagnosis of patients with a history of RT and BNC who develop pubic pain or recurrent urinary tract infection.