Pubis bone osteomyelitys after robotic radical cystectomy with continent intracorporeal urinary diversion: Multidisciplinary approach to a complex situation

  • Daniele Romagnoli | danieleromagnoli87@gmail.com Robotic Urology and Mini Invasive Urologic Surgery Unit, Abano Terme Hospital, Abano Terme (PD), Italy.
  • Federico Mineo Bianchi Urology Unit, S. Orsola Malpighi University Hospital - Alma Mater Studiorum, Bologna (BO), Italy.
  • Paolo Sadini Urology Unit, S. Orsola Malpighi University Hospital - Alma Mater Studiorum, Bologna (BO), Italy.
  • Andrea Angiolini Urology Unit, S. Orsola Malpighi University Hospital - Alma Mater Studiorum, Bologna (BO), Italy.
  • Daniele D'Agostino Robotic Urology and Mini Invasive Urologic Surgery Unit, Abano Terme Hospital, Abano Terme (PD), Italy.
  • Marco Giampaoli Robotic Urology and Mini Invasive Urologic Surgery Unit, Abano Terme Hospital, Abano Terme (PD), Italy.
  • Sergio Candiotto Orthopaedic Unit, Abano Terme Hospital, Abano Terme (PD), Italy.
  • Riccardo Schiavina Urology Unit, S. Orsola Malpighi University Hospital - Alma Mater Studiorum, Bologna (BO), Italy.
  • Eugenio Brunocilla Urology Unit, S. Orsola Malpighi University Hospital - Alma Mater Studiorum, Bologna (BO), Italy.
  • Angelo Porreca Robotic Urology and Mini Invasive Urologic Surgery Unit, Abano Terme Hospital, Abano Terme (PD), Italy.

Abstract

Pubic bone osteomyelitis is a rare infectious condition which is characterized by a complex diagnostic and therapeutic workup, due to its various clinical manifestations. Among the many causes of this condition, urinary fistula is the most common in case of previous urological procedures. In order to solve this complication, it is crucial to treat both the fistula and (moreover) the infectious locus arising from it, because treating the fistula alone does not provide any control on the infectious noxa. We present the first case of pubic bone osteomyelitis arising from a urinary fistula after a robotic radical cystectomy with intra corporeal continent neobladder, which has been successfully treated through a multidisciplinary approach.

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Published
2019-03-29
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Section
Case Reports
Keywords:
Osteomyelitis, Cystectomy, Urinary Fistula, Robotic, Multidisciplinary
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How to Cite
Romagnoli, D., Mineo Bianchi, F., Sadini, P., Angiolini, A., D’Agostino, D., Giampaoli, M., Candiotto, S., Schiavina, R., Brunocilla, E., & Porreca, A. (2019). Pubis bone osteomyelitys after robotic radical cystectomy with continent intracorporeal urinary diversion: Multidisciplinary approach to a complex situation. Archivio Italiano Di Urologia E Andrologia, 91(1), 63-67. https://doi.org/10.4081/aiua.2019.1.63

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