Imaging Post-Procedure Prostate Complications: CT, MRI, and Fluoroscopy Pearls

CT first-line for early prostate post-procedure complications (hemorrhage, collections); fluoroscopy for urinary leaks/fistulas/strictures; MRI (+PSMA PET) for late complications & recurrence. Knowing expected vs unexpected findings avoids delayed diagnosis.

• CT is the first-line modality for early detection of active hemorrhage and postoperative fluid collections.
• Fluoroscopic studies such as voiding cystourethrography and cystography aid in evaluating urinary leaks, fistulas, and strictures.
• MRI, especially with PSMA PET/CT or PET/MRI, characterizes late complications and local recurrence.

Automated summary

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