{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T17:48:01Z","timestamp":1769536081424,"version":"3.49.0"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>SpaceOAR is a hydrogel spacer widely used to protect the rectum from radiation toxicity during prostate cancer treatment. Reported here is a case in which an abscess that developed following SpaceOAR placement was successfully treated with laparoscopic fenestration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 70\u2010year\u2010old man with localized prostate cancer undergoing a radiation therapy course developed an abscess at the SpaceOAR placement site 76\u2009days after implantation. Antibiotic therapy and percutaneous drainage were ineffective; thus laparoscopic abscess fenestration was performed. Abscess size reduction was noted, leading to clinical improvement and a favorable course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first known reported case of laparoscopic abscess fenestration for a SpaceOAR\u2010related abscess and the findings highlight the need to include abscess formation as a differential diagnosis even after more than 2\u2009months following placement. Furthermore, this case indicates laparoscopic fenestration as a viable treatment option for a rectal spacer\u2010related abscess unresponsive to antibiotics or percutaneous drainage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70109","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T17:39:19Z","timestamp":1762882759000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Fenestration for Abscess Following\n                    <scp>SpaceOAR<\/scp>\n                    Placement\u2014Case Report"],"prefix":"10.1002","volume":"9","author":[{"given":"Yuki","family":"Matsuo","sequence":"first","affiliation":[{"name":"Department of Urology Hyogo Medical University  Nishinomiya Japan"},{"name":"Department of Urology Meiwa Hospital  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimihiro","family":"Shimatani","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University  Nishinomiya Japan"},{"name":"Department of Urology Meiwa Hospital  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toeki","family":"Yanagi","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiu\u2010Xian","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Kanematsu","sequence":"additional","affiliation":[{"name":"Department of Urology Hyogo Medical University  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Radiology Hyogo Medical University  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitomi","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Radiology Hyogo Medical University  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Yamakado","sequence":"additional","affiliation":[{"name":"Department of Radiology Hyogo Medical University  Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shingo","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of 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