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 s...

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Main Authors:	Kirby R. Qin, Luke Gibson, Todd G. Manning, Kapil Sethi, Damien Bolton
Format:	article
Language:	EN
Published:	Elsevier 2022
Subjects:	TURP Foley catheter Ureteric orifice Obstructive uropathy Diseases of the genitourinary system. Urology RC870-923
Online Access:	https://doaj.org/article/e92d503f3b4e4f56a98ebfffa1d2c06e
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spelling	oai:doaj.org-article:e92d503f3b4e4f56a98ebfffa1d2c06e2021-11-20T05:06:23ZUreteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy2214-442010.1016/j.eucr.2021.101948https://doaj.org/article/e92d503f3b4e4f56a98ebfffa1d2c06e2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214442021003880https://doaj.org/toc/2214-4420A 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.Kirby R. QinLuke GibsonTodd G. ManningKapil SethiDamien BoltonElsevierarticleTURPFoley catheterUreteric orificeObstructive uropathyDiseases of the genitourinary system. UrologyRC870-923ENUrology Case Reports, Vol 40, Iss , Pp 101948- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	TURP Foley catheter Ureteric orifice Obstructive uropathy Diseases of the genitourinary system. Urology RC870-923
spellingShingle	TURP Foley catheter Ureteric orifice Obstructive uropathy Diseases of the genitourinary system. Urology RC870-923 Kirby R. Qin Luke Gibson Todd G. Manning Kapil Sethi Damien Bolton Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy
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.
format	article
author	Kirby R. Qin Luke Gibson Todd G. Manning Kapil Sethi Damien Bolton
author_facet	Kirby R. Qin Luke Gibson Todd G. Manning Kapil Sethi Damien Bolton
author_sort	Kirby R. Qin
title	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_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_sort	ureteric orifice obstruction by catheter balloon post-turp: a rare cause of obstructive uropathy
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/e92d503f3b4e4f56a98ebfffa1d2c06e
work_keys_str_mv	AT kirbyrqin uretericorificeobstructionbycatheterballoonpostturpararecauseofobstructiveuropathy AT lukegibson uretericorificeobstructionbycatheterballoonpostturpararecauseofobstructiveuropathy AT toddgmanning uretericorificeobstructionbycatheterballoonpostturpararecauseofobstructiveuropathy AT kapilsethi uretericorificeobstructionbycatheterballoonpostturpararecauseofobstructiveuropathy AT damienbolton uretericorificeobstructionbycatheterballoonpostturpararecauseofobstructiveuropathy
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Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy

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