Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy

A 50-year-old male underwent small volume TURP for median lobe prostatic hypertrophy. Post-procedure, a 3-way urethral catheter was placed. He subsequently developed flank pain, anuria and creatinine rise. CT demonstrated bilateral obstructive uropathy. In the absence of obstructing lesions, it was...

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Detalles Bibliográficos
Autores principales: Qin, Kirby R., Gibson, Luke, Manning, Todd G., Sethi, Kapil, Bolton, Damien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Endourology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607207/
https://www.ncbi.nlm.nih.gov/pubmed/34849349
http://dx.doi.org/10.1016/j.eucr.2021.101948
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author Qin, Kirby R.
Gibson, Luke
Manning, Todd G.
Sethi, Kapil
Bolton, Damien
author_facet Qin, Kirby R.
Gibson, Luke
Manning, Todd G.
Sethi, Kapil
Bolton, Damien
author_sort Qin, Kirby R.
collection PubMed
description A 50-year-old male underwent small volume TURP for median lobe prostatic hypertrophy. Post-procedure, a 3-way urethral catheter was placed. He subsequently developed flank pain, anuria and creatinine rise. CT demonstrated bilateral obstructive uropathy. In the absence of obstructing lesions, it was suspected that the catheter balloon may have caused obstruction of bilateral ureteric orifices. Balloon deflation (from 30 to 10 mL) and catheter repositioning resulted in rapid resolution of pain and resumption of urine output. Urologists should consider the catheter balloon as a cause of obstructive uropathy, especially after procedures where normal trigonal anatomy is disrupted.
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spelling pubmed-86072072021-11-29 Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy Qin, Kirby R. Gibson, Luke Manning, Todd G. Sethi, Kapil Bolton, Damien Urol Case Rep Endourology A 50-year-old male underwent small volume TURP for median lobe prostatic hypertrophy. Post-procedure, a 3-way urethral catheter was placed. He subsequently developed flank pain, anuria and creatinine rise. CT demonstrated bilateral obstructive uropathy. In the absence of obstructing lesions, it was suspected that the catheter balloon may have caused obstruction of bilateral ureteric orifices. Balloon deflation (from 30 to 10 mL) and catheter repositioning resulted in rapid resolution of pain and resumption of urine output. Urologists should consider the catheter balloon as a cause of obstructive uropathy, especially after procedures where normal trigonal anatomy is disrupted. Elsevier 2021-11-16 /pmc/articles/PMC8607207/ /pubmed/34849349 http://dx.doi.org/10.1016/j.eucr.2021.101948 Text en © 2021 Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Endourology
Qin, Kirby R.
Gibson, Luke
Manning, Todd G.
Sethi, Kapil
Bolton, Damien
Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy
title Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy
title_full Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy
title_fullStr Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy
title_full_unstemmed Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy
title_short Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy
title_sort ureteric orifice obstruction by catheter balloon post-turp: a rare cause of obstructive uropathy
topic Endourology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607207/
https://www.ncbi.nlm.nih.gov/pubmed/34849349
http://dx.doi.org/10.1016/j.eucr.2021.101948
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