Levator Ani Necrosis: An Exceptional Complication Occurring after “High Intensity Focused Ultrasound” of the Prostate

High intensity focused ultrasound (HIFU) is a minimally invasive treatment option that might be considered in the management of localized prostate cancer. It is a well-tolerated treatment with few minor urologic complications and no major toxicities. In this paper, we report to our knowledge the fir...

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Main Authors: Danny Badawy, Elie El Rassy, Fouad Aoun, Roland Van Velthoven
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2016/3920976
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author Danny Badawy
Elie El Rassy
Fouad Aoun
Roland Van Velthoven
author_facet Danny Badawy
Elie El Rassy
Fouad Aoun
Roland Van Velthoven
author_sort Danny Badawy
collection DOAJ
description High intensity focused ultrasound (HIFU) is a minimally invasive treatment option that might be considered in the management of localized prostate cancer. It is a well-tolerated treatment with few minor urologic complications and no major toxicities. In this paper, we report to our knowledge the first case of levator ani necrosis in a patient treated with HIFU, manifesting as sturdy perineal pain, which took years of NSAID intake and serial MRIs to demonstrate partial improvement. Therefore, we regard HIFU as a serious potential treatment option that still requires longer follow-up data before its approval in the personalized treatment panel of prostate cancer.
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spelling doaj-art-c6ecc3d320c4458eaf43a3b6c67a93df2025-08-20T03:23:34ZengWileyCase Reports in Urology2090-696X2090-69782016-01-01201610.1155/2016/39209763920976Levator Ani Necrosis: An Exceptional Complication Occurring after “High Intensity Focused Ultrasound” of the ProstateDanny Badawy0Elie El Rassy1Fouad Aoun2Roland Van Velthoven3Department of Onco-Surgery, Jules Bordet Institute, Brussels, BelgiumDepartment of Oncology, Hotel Dieu de France, Saint Joseph University, Beirut, LebanonDepartment of Urology, Hotel Dieu de France, Saint Joseph University, Beirut, LebanonDepartment of Urology, Jules Bordet Institute, Brussels, BelgiumHigh intensity focused ultrasound (HIFU) is a minimally invasive treatment option that might be considered in the management of localized prostate cancer. It is a well-tolerated treatment with few minor urologic complications and no major toxicities. In this paper, we report to our knowledge the first case of levator ani necrosis in a patient treated with HIFU, manifesting as sturdy perineal pain, which took years of NSAID intake and serial MRIs to demonstrate partial improvement. Therefore, we regard HIFU as a serious potential treatment option that still requires longer follow-up data before its approval in the personalized treatment panel of prostate cancer.http://dx.doi.org/10.1155/2016/3920976
spellingShingle Danny Badawy
Elie El Rassy
Fouad Aoun
Roland Van Velthoven
Levator Ani Necrosis: An Exceptional Complication Occurring after “High Intensity Focused Ultrasound” of the Prostate
Case Reports in Urology
title Levator Ani Necrosis: An Exceptional Complication Occurring after “High Intensity Focused Ultrasound” of the Prostate
title_full Levator Ani Necrosis: An Exceptional Complication Occurring after “High Intensity Focused Ultrasound” of the Prostate
title_fullStr Levator Ani Necrosis: An Exceptional Complication Occurring after “High Intensity Focused Ultrasound” of the Prostate
title_full_unstemmed Levator Ani Necrosis: An Exceptional Complication Occurring after “High Intensity Focused Ultrasound” of the Prostate
title_short Levator Ani Necrosis: An Exceptional Complication Occurring after “High Intensity Focused Ultrasound” of the Prostate
title_sort levator ani necrosis an exceptional complication occurring after high intensity focused ultrasound of the prostate
url http://dx.doi.org/10.1155/2016/3920976
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