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Case Reports in Urology
Volume 2016, Article ID 3920976, 3 pages
Case Report

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

1Department of Onco-Surgery, Jules Bordet Institute, Brussels, Belgium
2Department of Oncology, Hotel Dieu de France, Saint Joseph University, Beirut, Lebanon
3Department of Urology, Hotel Dieu de France, Saint Joseph University, Beirut, Lebanon
4Department of Urology, Jules Bordet Institute, Brussels, Belgium

Received 27 June 2016; Accepted 24 August 2016

Academic Editor: Christian Pavlovich

Copyright © 2016 Danny Badawy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.