# A rare case of urosymphyseal fistula following robot-assisted radical prostatectomy

## TL;DR

A rare complication called urosymphyseal fistula can occur after robot-assisted prostate surgery, causing pain and infection, but early MRI diagnosis and multidisciplinary treatment can improve outcomes.

## Contribution

This paper presents a rare case of urosymphyseal fistula following RARP and emphasizes the role of MRI and multidisciplinary management in successful treatment.

## Key findings

- MRI was crucial in diagnosing urosymphyseal fistula and associated osteomyelitis.
- A multidisciplinary approach, including robotic-assisted surgery, led to successful patient management.
- Early detection and treatment are essential to reduce morbidity from this rare complication.

## Abstract

Urosymphyseal fistula (USF) is a rare but serious complication following robot-assisted radical prostatectomy (RARP), frequently associated with osteomyelitis of the pubic symphysis and causing significant morbidity. We present a case of a 66-year-old patient who developed USF with osteomyelitis after RARP, characterized by persistent pelvic pain and urinary symptoms. MRI was crucial in diagnosing the fistula and osteomyelitis, guiding a successful multidisciplinary intervention, including robotic-assisted surgery. Early diagnosis, advanced imaging modalities, and collaborative surgical management remain essential for optimal patient outcomes. Continued advancements in diagnostic and therapeutic strategies are necessary for effective management of USF.

•Urosymphyseal fistula is a rare but serious complication following robot-assisted radical prostatectomy, often leading to significant patient morbidity.•Early diagnosis through advanced imaging techniques like MRI is crucial for timely intervention.•A multidisciplinary approach, including robotic surgery and infection management, plays a key role in improving patient outcomes.•This case highlights the importance of awareness, early detection, and comprehensive treatment to enhance recovery and quality of life for affected patients.

Urosymphyseal fistula is a rare but serious complication following robot-assisted radical prostatectomy, often leading to significant patient morbidity.

Early diagnosis through advanced imaging techniques like MRI is crucial for timely intervention.

A multidisciplinary approach, including robotic surgery and infection management, plays a key role in improving patient outcomes.

This case highlights the importance of awareness, early detection, and comprehensive treatment to enhance recovery and quality of life for affected patients.