Abstract：
OBJECTIVE:To describe pelvic bone osteomyelitis in the prostate cancer survivor, to report on clinical presentation and treatment, and to suggest an algorithmic approach to managing this syndrome complex. MATERIALS AND METHODS:A retrospective chart review from January 2011 to June 2014 was performed to identify prostate cancer patients with pubic symphysis osteomyelitis at a tertiary-care academic medical center with emphasis on genitourinary cancer survivorship. Data on clinical presentation and outcomes were reviewed. RESULTS:Ten patients were diagnosed with having osteomyelitis of the pubic symphysis with or without extension into the pubic rami. Three patients had associated rectal fistulas. Four patients had radical prostatectomy, 5 patients received radiotherapy, and 1 patient received high-intensity focused ultrasound as the primary treatment for prostate cancer. The most common presenting symptoms were pelvic and suprapubic pain, difficulty in walking, and recurrent urinary infections at a median of 7 years after prostate cancer treatment (range, 1.5-16 years). Eight of the 10 patients underwent pubic bone debridement with urinary and fecal diversion when needed. Two patients continue to be managed conservatively with suppressive antibiotics owing to low disease burden. Complete resolution of symptoms was noted in patients undergoing operative intervention, without any pelvic ring instability due to pubic bone resection. CONCLUSION:The combination of pelvic pain, difficulty with ambulation, and recurrent infections in a prostate cancer survivor should prompt investigation for pubic bone osteomyelitis-a poorly recognized syndrome complex that is best managed in a multidisciplinary setting.
journal_name
Urologyjournal_title
Urologyauthors
Gupta S,Zura RD,Hendershot EF,Peterson ACdoi
10.1016/j.urology.2014.11.020subject
Has Abstractpub_date
2015-03-01 00:00:00pages
684-90issue
3eissn
0090-4295issn
1527-9995pii
S0090-4295(14)01309-0journal_volume
85pub_type
杂志文章相关文献
UROLOGY文献大全abstract：:As a result of variations in disease definition and diagnostic criteria for interstitial cystitis (IC), the performance of epidemiologic studies has been challenging. Initial prevalence studies used physician-confirmed diagnoses of IC; more recent studies, which have incorporated the use of patient responses to valida...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.05.050
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVE:To identify patient and component specific factors that predispose patients to device-related complications when undergoing pressure-regulating balloon (PRB) exchange in men with an artificial urinary sphincter (AUS). METHOD:From 2009 to 2018, 55 patients underwent AUS revision with placement of a higher pre...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2019.09.026
更新日期：2020-01-01 00:00:00
abstract：:One hundred patients with surgical Stage D1 (TXN + M0) adenocarcinoma of the prostate underwent pelvic lymphadenectomy and radical retropubic prostatectomy and were followed up for one-half to fifteen and one-half years. Forty-eight patients received "adjuvant" hormonal or radiation (or both) treatment; all patients w...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(84)90415-1
更新日期：1984-08-01 00:00:00
abstract：:Iatrogenic diaphragmatic injury during laparoscopy has necessitated intracorporeal suturing and occasionally thoracostomy tube placement. We describe a technique to repair the diaphragm quickly using a novel gelatin thrombin matrix. The matrix can be administered through a trocar or hand-assist device and can rapidly ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)01771-5
更新日期：2002-09-01 00:00:00
abstract：OBJECTIVES:To elucidate the prognostic significance of lymphovascular invasion (LVI) in patients with upper tract transitional cell carcinoma. METHODS:Of 86 patients with upper tract transitional cell carcinoma who underwent nephroureterectomy with bladder cuff (95%) or parenchymal-sparing (5%) surgery from 1991 to 20...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.11.001
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVES:Prior investigations evaluating the presence of human papillomavirus (HPV) in prostatic tissue by polymerase chain reaction (PCR) technology have yielded detection rates of 0% to 100%. Contamination by viral DNA from prostatic urethral colonization or less than optimal laboratory conditions have been suggest...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(97)00126-X
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVES:Six random systematic core biopsies (SRSCB) of the prostate is considered by many to represent the standard method of detecting prostate cancer. We sought to evaluate the sensitivity of the transrectal ultrasound (TRU)S-guided needle biopsies in 89 consecutive patients with a history of biopsy-proven prostat...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0090-4295(97)00178-7
更新日期：1997-03-01 00:00:00
abstract：OBJECTIVE:To reassess the incontinence and urge complaints in adults who had undergone inpatient urotherapy during childhood and compare the results with the short-term outcomes. METHODS:From 1987 to 1990, 95 children (13 boys and 82 girls; age 6-17 years) underwent hospitalized urotherapy to treat functional lower ur...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.08.055
更新日期：2011-12-01 00:00:00
abstract：:For clinical practice and research of overactive bladder syndrome, it is essential to evaluate urgency symptoms in daily life. We have developed a portable patient-activated device to record bladder sensations. This electronic device is pocket-size and light, with five grading buttons and another button for cancellati...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.01.036
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:To characterize the standard physical, chemical, and microscopic characteristics of urine in patients with noncomplicated orthotopic ileal neobladders. MATERIALS AND METHODS:This is a prospective study that included 100 male patients who underwent radical cystectomy and ileal neobladder between 1993 and 2013...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.06.047
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVE:To determine whether Charlson comorbidity index (CCI) predicts the postoperative complications after percutaneous nephrolithotomy (PCNL) and could be a plausible option to avoid surgery and its potential risks in elderly patients with significant comorbidites. METHODS:The data from 283 elderly patients (age ...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2011.10.060
更新日期：2012-05-01 00:00:00
abstract：:A simple technique for performing the vascular anastomoses in renal transplantation is presented. It utilizes ipsilateral side-to-end vascular anastomoses using the external iliac arteries and punch anastomoses. Using this method, transplantation of kidneys is simplified despite short, multiple, or unequal caliber of ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(84)90205-x
更新日期：1984-10-01 00:00:00
abstract：OBJECTIVE:To report our experience in applying the Lich-Gregoir extravesical ureteral reimplantation (EVR) approach to complex cases (megaureter, duplex systems) through a small inguinal incision, with the goal of minimizing invasiveness. MATERIALS AND METHODS:We reviewed the records of all patients who underwent comm...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.04.034
更新日期：2017-08-01 00:00:00
abstract：:The management of 10 cases of penile gunshot wounds treated at Henry Ford Hospital from 1982 to 1986 is reviewed. All patients were assaulted by low velocity weapons (handguns). Eight patients had associated injuries, predominantly to the genital region (thigh, pubis, and scrotum). There were 5 urethral injuries; 4 we...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(90)80237-h
更新日期：1990-10-01 00:00:00
abstract：OBJECTIVES:To clarify the clinical and prognostic significance of cortactin and phosphorylated cortactin in patients with sarcomatoid renal cell carcinoma (SRCC). METHODS:We retrospectively reviewed the data from 31 patients with SRCC and 33 with conventional renal cell carcinoma matched for clinicopathologic features...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.03.019
更新日期：2011-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the functional and morphologic outcome after open pyeloplasty for ureteropelvic junction obstruction (UPJO) in ectopic pelvic kidneys. MATERIALS AND METHODS:A retrospective review of all patients who underwent open pyeloplasty in ectopic pelvic kidneys was conducted. Records were evaluated with r...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.07.057
更新日期：2012-12-01 00:00:00
abstract：OBJECTIVE:To assess the outcome of cystectomy and cystourethrectomy in patients with intractable interstitial cystitis or bladder pain syndrome, and to identify whether urethrectomy is necessary. METHODS AND MATERIALS:During 2007-2014, 18 women were eligible and elected for surgical treatment after conservative treatm...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.07.003
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To assess whether the stone composition affects the operative time of ureteroscopic holmium:yttrium-aluminum-garnet laser lithotripsy (ULL) with active fragment retrieval. The chemical composition of a calculus is known to affect the efficacy with which it is fragmented by a device, such as pneumatic, laser, ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.05.040
更新日期：2012-10-01 00:00:00
abstract：:This is the first report of incidence of neurogenic bladder in patients with acquired immune deficiency syndrome (AIDS) and emphasizes that it is a significant cause of various voiding dysfunctions in these patients. Neurologic disease occurs in about one third of patients with AIDS. Both central and peripheral nervou...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(92)90496-j
更新日期：1992-09-01 00:00:00
abstract：INTRODUCTION:Fibroepithelial polyps of the ureter, usually of congenital or inflammatory origin, are rare entities. These polyps are often solitary, but cases of multiple polyps have also been reported. Treatment of these entities has evolved with emerging surgical techniques and technologies. SURGICAL TECHNIQUE:We de...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.08.020
更新日期：2006-02-01 00:00:00
abstract：OBJECTIVE:To measure the urodynamic effects of electrical co-stimulation of 2 individual sites in the proximal and distal urethra in persons with spinal cord injury (SCI). This work was motivated by preclinical findings that selective co-stimulation of the cranial urethral sensory nerve and the dorsal genital nerve, wh...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.07.041
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVES:To examine the effects of bicalutamide (Casodex), a pure antiandrogen with high specificity for the androgen receptor, on insulin-like growth factor binding protein (IGFBP) expression and apoptotic regression of the rat ventral prostate. METHODS:Rats were treated daily with 10 mg/kg body weight bicalutamide...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00421-5
更新日期：1999-12-01 00:00:00
abstract：INTRODUCTION:When men present for vasectomy, incidental varicoceles may be discovered. After varicocelectomy, the deferential veins become the only avenue for testicular venous return and could be compromised during nonmicroscopic vasectomy. We discuss the indications and technique required to safely perform simultaneo...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.02.027
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVES:Numerous techniques have been described for supporting the vaginal vault after enterocele repair and hysterectomy. We describe a transvaginal culdosuspension that obliterates the cul-de-sac and supports the vaginal cuff high on the levator plate. The normal vaginal axis is restored, and adequate vaginal dept...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(99)00266-6
更新日期：1999-11-01 00:00:00
abstract：OBJECTIVES:To investigate a link between the appearance of photoacoustic imaging (PAI) and microvasculature in prostate cancer and to assess the feasibility of PAI for angiogenesis imaging in prostate cancer. METHODS:We have developed a PAI system equipped with a transrectal ultrasound (TRUS)-type probe. Three patient...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.07.008
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of intermittent percutaneous tibial nerve stimulation (PTNS) as a treatment modality for patients with refractory interstitial cystitis/bladder pain syndrome (IC/BPS). PATIENTS AND METHODS:Twenty female patients with IC/BPS (mean symptom duration of 4.5 ± 2.4 years) each had a 30-min...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.06.041
更新日期：2015-10-01 00:00:00
abstract：:Computed tomography (CT) and ultrasound are emerging as useful diagnostic adjuvants in the confirmation of pelvic lipomatosis. A case of pelvic lipomatosis studied by CT and sonography is presented. These two techniques offer greater precision in the demonstration of fatty tissue density within the true pelvis. The fi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90543-0
更新日期：1979-12-01 00:00:00
abstract：OBJECTIVES:To determine the effect of the combination of intranasal desmopressin spray and diclofenac sodium suppository on acute renal colic and compare it with diclofenac sodium suppository alone. METHODS:A total of 150 patients aged 15-65 years referred to our hospital with acute renal colic were included in a doub...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.05.053
更新日期：2010-03-01 00:00:00
abstract：OBJECTIVES:To evaluate the outcomes of hand-assisted laparoscopic nephrectomy in patients with significant complicating clinical factors. METHODS:We performed a retrospective review of 322 hand-assisted laparoscopic nephrectomy cases that were completed at a single institution from 1998 to 2004. Patients with a histor...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.07.043
更新日期：2006-01-01 00:00:00
abstract：:During the past decade, our understanding of the epidemiology and natural history of benign prostatic hyperplasia (BPH) has improved considerably. Population-based studies confirm that lower urinary tract symptoms (LUTS) are very common among aging men. These studies have confirmed that men with moderate-to-severe sym...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(01)01346-2
更新日期：2001-12-01 00:00:00
