Intravesical fungus ball following robot‐assisted radical prostatectomy in diabetes mellitus patient
Introduction A case with a rare complication considered to be related to a robot‐assisted radical prostatectomy procedure and medication given thereafter is presented. Case presentation A 73‐year‐old male diagnosed with prostate cancer underwent a robot‐assisted radical prostatectomy and lymphadenec...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-05-01
|
| Series: | IJU Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/iju5.12838 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850192541403578368 |
|---|---|
| author | Toru Suzuki Takahiro Fukuda Kosuke Nishizaki Koji Fukui Masato Tomono Shohei Matsuo Sayaka Arinobe Yuta Wakamatsu Masakazu Sugio Mutsunobu Yoshioka |
| author_facet | Toru Suzuki Takahiro Fukuda Kosuke Nishizaki Koji Fukui Masato Tomono Shohei Matsuo Sayaka Arinobe Yuta Wakamatsu Masakazu Sugio Mutsunobu Yoshioka |
| author_sort | Toru Suzuki |
| collection | DOAJ |
| description | Introduction A case with a rare complication considered to be related to a robot‐assisted radical prostatectomy procedure and medication given thereafter is presented. Case presentation A 73‐year‐old male diagnosed with prostate cancer underwent a robot‐assisted radical prostatectomy and lymphadenectomy. The medical history included type II diabetes mellitus managed with canagliflozin hydrate. Six months after the operation, the patient was affected by pneumaturia and soft yellowish tissue discharge during micturition. Candida species were detected in urine and soft tissue cultures. Based on a diagnosis of intravesical fungus ball, a transurethral resection was performed. It was considered that partial impairment of vesical blood supply caused by clamping of a branch of the inferior vesical artery during the lymphadenectomy procedure likely contributed to intravesical fungus ball formation. Conclusion Awareness of the various arteries supplying vesical blood flow and urogenital infection following sodium‐glucose cotransporter‐2 inhibitor administration can be beneficial for the attending surgeon. |
| format | Article |
| id | doaj-art-dd50dd2a611e4eada925bf390b994e29 |
| institution | OA Journals |
| issn | 2577-171X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj-art-dd50dd2a611e4eada925bf390b994e292025-08-20T02:14:31ZengWileyIJU Case Reports2577-171X2025-05-018319419710.1002/iju5.12838Intravesical fungus ball following robot‐assisted radical prostatectomy in diabetes mellitus patientToru Suzuki0Takahiro Fukuda1Kosuke Nishizaki2Koji Fukui3Masato Tomono4Shohei Matsuo5Sayaka Arinobe6Yuta Wakamatsu7Masakazu Sugio8Mutsunobu Yoshioka9Department of Urology Takarazuka City Hospital Hyogo JapanDepartment of Urology Takarazuka City Hospital Hyogo JapanDepartment of Urology Takarazuka City Hospital Hyogo JapanDepartment of Urology Takarazuka City Hospital Hyogo JapanDepartment of Urology Chibune General Hospital Osaka JapanDepartment of Diagnostic Phathology Takarazuka City Hospital Hyogo JapanDepartment of Pharmacy Takarazuka City Hospital Hyogo JapanDepartment of Pharmacy Takarazuka City Hospital Hyogo JapanDepartment of Pharmacy Takarazuka City Hospital Hyogo JapanDepartment of Pharmacy Takarazuka City Hospital Hyogo JapanIntroduction A case with a rare complication considered to be related to a robot‐assisted radical prostatectomy procedure and medication given thereafter is presented. Case presentation A 73‐year‐old male diagnosed with prostate cancer underwent a robot‐assisted radical prostatectomy and lymphadenectomy. The medical history included type II diabetes mellitus managed with canagliflozin hydrate. Six months after the operation, the patient was affected by pneumaturia and soft yellowish tissue discharge during micturition. Candida species were detected in urine and soft tissue cultures. Based on a diagnosis of intravesical fungus ball, a transurethral resection was performed. It was considered that partial impairment of vesical blood supply caused by clamping of a branch of the inferior vesical artery during the lymphadenectomy procedure likely contributed to intravesical fungus ball formation. Conclusion Awareness of the various arteries supplying vesical blood flow and urogenital infection following sodium‐glucose cotransporter‐2 inhibitor administration can be beneficial for the attending surgeon.https://doi.org/10.1002/iju5.12838fungus ballinferior vesical arteryrobot‐assisted radical prostatectomysodium‐glucose cotransporter‐2 inhibitor |
| spellingShingle | Toru Suzuki Takahiro Fukuda Kosuke Nishizaki Koji Fukui Masato Tomono Shohei Matsuo Sayaka Arinobe Yuta Wakamatsu Masakazu Sugio Mutsunobu Yoshioka Intravesical fungus ball following robot‐assisted radical prostatectomy in diabetes mellitus patient IJU Case Reports fungus ball inferior vesical artery robot‐assisted radical prostatectomy sodium‐glucose cotransporter‐2 inhibitor |
| title | Intravesical fungus ball following robot‐assisted radical prostatectomy in diabetes mellitus patient |
| title_full | Intravesical fungus ball following robot‐assisted radical prostatectomy in diabetes mellitus patient |
| title_fullStr | Intravesical fungus ball following robot‐assisted radical prostatectomy in diabetes mellitus patient |
| title_full_unstemmed | Intravesical fungus ball following robot‐assisted radical prostatectomy in diabetes mellitus patient |
| title_short | Intravesical fungus ball following robot‐assisted radical prostatectomy in diabetes mellitus patient |
| title_sort | intravesical fungus ball following robot assisted radical prostatectomy in diabetes mellitus patient |
| topic | fungus ball inferior vesical artery robot‐assisted radical prostatectomy sodium‐glucose cotransporter‐2 inhibitor |
| url | https://doi.org/10.1002/iju5.12838 |
| work_keys_str_mv | AT torusuzuki intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT takahirofukuda intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT kosukenishizaki intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT kojifukui intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT masatotomono intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT shoheimatsuo intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT sayakaarinobe intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT yutawakamatsu intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT masakazusugio intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient AT mutsunobuyoshioka intravesicalfungusballfollowingrobotassistedradicalprostatectomyindiabetesmellituspatient |