Austin Health

Title
Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy.
Publication Date
2022-01
Author(s)
Qin, Kirby R
Gibson, Luke
Manning, Todd G
Sethi, Kapil
Bolton, Damien M
Subject
BPH, benign prostatic hyperplasia
Foley catheter
LUTS, lower urinary tract symptoms
Obstructive uropathy
TURP
TURP, transurethral resection of prostate
UO, ureteric orifice
Ureteric orifice
Type of document
Journal Article
DOI
10.1016/j.eucr.2021.101948
Abstract
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.
Link
Citation
Urology Case Reports 2022; 40: 101948
Jornal Title
Urology Case Reports
ISSN
2214-4420

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