68 Ga-PSMA PET/CT After Open Transvesical Prostatectomy: The Diagnostic Challenge of Postoperative Urinary Reflux.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 42080621.
- Also identified by DOI 10.1097/RLU.0000000000006440.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
We report a case of a 68-year-old man with incidentally discovered prostate adenocarcinoma following open transvesical prostatectomy for presumed benign prostatic hyperplasia. Initial ⁶⁸Ga-PSMA PET/CT demonstrated focal uptake in the left seminal vesicle, raising concern for seminal-vesicle invasion. Delayed imaging showed persistent but decreasing activity paralleling urinary clearance, and multiparametric MRI confirmed postoperative changes without evidence of tumor extension. The finding was ultimately attributed to urinary reflux into the seminal vesicle, a potential false-positive pitfall in patients with prior outlet-reconstructive surgery. Awareness of this phenomenon and multimodality correlation are essential to avoid misinterpretation and inappropriate management.
Medical subject headings
- Positron Emission Tomography Computed Tomography
- Prostatectomy
- Oligopeptides
- Edetic Acid
- Pentetic Acid
- Postoperative Complications