Nurul Hafiez Fijasri, Mohamed Ashraf Mohamed Daud, Wan Zainira Wan Zain, Siti Rahmah Hashim Isa Merican, I. S. Mohamad
{"title":"一个病例报告成功的手术治疗非导管依赖良性前列腺增生的原因非扩张性梗阻性尿病","authors":"Nurul Hafiez Fijasri, Mohamed Ashraf Mohamed Daud, Wan Zainira Wan Zain, Siti Rahmah Hashim Isa Merican, I. S. Mohamad","doi":"10.34172/jrip.2022.30858","DOIUrl":null,"url":null,"abstract":"Large benign prostatic hyperplasia (BPH) that obstructs the urinary bladder neck was a known cause of acute renal dysfunction. However, it is rare to get renal impairment in a non-dilated upper tract caused by BPH. We are reporting a case of a man who presented to our urology unit with remarkable renal impairment due to concurrent BPH, with no evidence of a dilated system. The patient is a 65-year-old man who presented to our urology unit for the complaints of severe irritative and obstructive symptoms of the lower urinary tract for the past few months. Initial renal function test showed severe renal impairment and ultrasound of kidney urinary and bladder (KUB) revealed normal bilateral kidneys with no evidence of hydronephrosis bilaterally. The patient subsequently underwent transurethral resection of the prostate (TURP) in our centre and his kidney function instantaneously returned to normal before discharging home. Dilated urinary system in obstructive uropathy does not always correspond to the degree of obstruction as in our case. Thus, immediate intervention to release obstruction in a non-dilated urinary system due to bladder neck obstruction is recommended.","PeriodicalId":16950,"journal":{"name":"Journal of Renal Injury Prevention","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A case report to a successful surgical treatment of non-catheter dependent benign prostatic hyperplasia as a cause of non-dilated obstructive uropathy\",\"authors\":\"Nurul Hafiez Fijasri, Mohamed Ashraf Mohamed Daud, Wan Zainira Wan Zain, Siti Rahmah Hashim Isa Merican, I. S. Mohamad\",\"doi\":\"10.34172/jrip.2022.30858\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Large benign prostatic hyperplasia (BPH) that obstructs the urinary bladder neck was a known cause of acute renal dysfunction. However, it is rare to get renal impairment in a non-dilated upper tract caused by BPH. We are reporting a case of a man who presented to our urology unit with remarkable renal impairment due to concurrent BPH, with no evidence of a dilated system. The patient is a 65-year-old man who presented to our urology unit for the complaints of severe irritative and obstructive symptoms of the lower urinary tract for the past few months. Initial renal function test showed severe renal impairment and ultrasound of kidney urinary and bladder (KUB) revealed normal bilateral kidneys with no evidence of hydronephrosis bilaterally. The patient subsequently underwent transurethral resection of the prostate (TURP) in our centre and his kidney function instantaneously returned to normal before discharging home. Dilated urinary system in obstructive uropathy does not always correspond to the degree of obstruction as in our case. Thus, immediate intervention to release obstruction in a non-dilated urinary system due to bladder neck obstruction is recommended.\",\"PeriodicalId\":16950,\"journal\":{\"name\":\"Journal of Renal Injury Prevention\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2021-12-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Renal Injury Prevention\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.34172/jrip.2022.30858\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Renal Injury Prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.34172/jrip.2022.30858","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
A case report to a successful surgical treatment of non-catheter dependent benign prostatic hyperplasia as a cause of non-dilated obstructive uropathy
Large benign prostatic hyperplasia (BPH) that obstructs the urinary bladder neck was a known cause of acute renal dysfunction. However, it is rare to get renal impairment in a non-dilated upper tract caused by BPH. We are reporting a case of a man who presented to our urology unit with remarkable renal impairment due to concurrent BPH, with no evidence of a dilated system. The patient is a 65-year-old man who presented to our urology unit for the complaints of severe irritative and obstructive symptoms of the lower urinary tract for the past few months. Initial renal function test showed severe renal impairment and ultrasound of kidney urinary and bladder (KUB) revealed normal bilateral kidneys with no evidence of hydronephrosis bilaterally. The patient subsequently underwent transurethral resection of the prostate (TURP) in our centre and his kidney function instantaneously returned to normal before discharging home. Dilated urinary system in obstructive uropathy does not always correspond to the degree of obstruction as in our case. Thus, immediate intervention to release obstruction in a non-dilated urinary system due to bladder neck obstruction is recommended.
期刊介绍:
The Journal of Renal Injury Prevention (JRIP) is a quarterly peer-reviewed international journal devoted to the promotion of early diagnosis and prevention of renal diseases. It publishes in March, June, September and December of each year. It has pursued this aim through publishing editorials, original research articles, reviews, mini-reviews, commentaries, letters to the editor, hypothesis, case reports, epidemiology and prevention, news and views and renal biopsy teaching point. In this journal, particular emphasis is given to research, both experimental and clinical, aimed at protection/prevention of renal failure and modalities in the treatment of diabetic nephropathy. A further aim of this journal is to emphasize and strengthen the link between renal pathologists/nephropathologists and nephrologists. In addition, JRIP welcomes basic biomedical as well as pharmaceutical scientific research applied to clinical nephrology. Futuristic conceptual hypothesis that integrate various fields of acute kidney injury and renal tubular cell protection are encouraged to be submitted.