Editorial comment

I congratulate the authors for presenting a minimally invasive approach to pubic symphyseal debridement with or without cystectomy in patients with urosymphyseal fistulas (USFs). Although a rare complication of prostate cancer radiotherapy treatment, USF and its associated osteomyelitis frequently result in debilitating pain, sepsis, decreased quality of life, and potentially increased mortality. The traditional treatment of this difficult problem has been to perform an open pubic bone debridement with either cystectomy and ileal conduit if the bladder is not salvageable, or to perform a USF closure with rectus muscle flap in the rare case of a salvageable lower urinary tract.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research