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

IF 0.2 Q4 UROLOGY & NEPHROLOGY
Nurul Hafiez Fijasri, Mohamed Ashraf Mohamed Daud, Wan Zainira Wan Zain, Siti Rahmah Hashim Isa Merican, I. S. Mohamad
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引用次数: 0

摘要

大型良性前列腺增生(BPH)阻塞膀胱颈部是已知的急性肾功能障碍的原因。然而,它是罕见的得到肾脏损害的非扩张性上尿路引起的前列腺增生。我们报告一个病例的男子谁提出了我们泌尿科的显著肾功能损害,由于并发前列腺增生,没有证据表明扩张的系统。患者是一名65岁的男性,在过去的几个月里,他以严重的下尿路刺激和阻塞症状来我们泌尿科就诊。初步肾功能检查显示严重肾功能损害,肾尿膀胱超声(KUB)显示双侧肾脏正常,无肾积水迹象。患者随后在我中心行经尿道前列腺切除术(TURP),在出院前肾功能立即恢复正常。梗阻性尿病的泌尿系统扩张并不总是与本病例的梗阻程度相对应。因此,建议在膀胱颈部梗阻引起的非扩张性泌尿系统中立即干预以解除梗阻。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.
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来源期刊
Journal of Renal Injury Prevention
Journal of Renal Injury Prevention UROLOGY & NEPHROLOGY-
CiteScore
1.60
自引率
0.00%
发文量
36
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.
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