Riyach Omar, Ahsaini Mustapha, Kharbach Youssef, Bounoual Mohammed, Tazi Mohammed Fadl, El Ammari Jalal Eddine, Mellas Soufiane, Fassi Mohammed El Jamal, Khallouk Abdelhak, Farih Moulay Hassan
Department of Urology, University Hospital Center Hassan II, Fez, Morocco.
J Med Case Rep. 2014 Feb 11;8:42. doi: 10.1186/1752-1947-8-42.
Prostatic hyperplasia is the most frequent tumor in men older than 50 years of age. Bilateral hydronephrosis secondary to benign prostatic hypertrophy is a rare condition most often due to vesicoureteral reflux. Herein we report a case of a patient with bilateral hydronephrosis with distal ureter obstruction caused by detrusor hypertrophy due to prostatic hyperplasia, our analysis of the clinical data and a review of the relevant published literature.
We report a case of a 65-year-old Berber man with clinically significant storage, bladder-emptying symptoms and bilateral low back pain with renal biologic failure and bilateral ureterohydronephrosis, distal ureteral stenosis, detrusor hypertrophy and prostate hyperplasia without significant post-void residual urine volume visualized by abdominal sonography. The patient underwent bilateral JJ stent insertion with transurethral resection of the prostate. The patient was discharged 3 days after surgery without any obvious complications. At his 3-month follow-up examination, the JJ stent was removed and the patient had comfortable urination without renal failure.
This is an extremely rare condition that has important diagnostic considerations because of the possibility of comorbid severe obstructive uropathy and chronic renal failure.
前列腺增生是50岁以上男性中最常见的肿瘤。良性前列腺增生继发双侧肾积水是一种罕见情况，最常见的原因是膀胱输尿管反流。在此，我们报告一例因前列腺增生导致逼尿肌肥大引起双侧肾积水伴远端输尿管梗阻的患者病例、我们对临床数据的分析以及对相关已发表文献的综述。
我们报告一例65岁的柏柏尔男性患者，有明显的储尿、膀胱排空症状以及双侧腰痛，伴有肾功能衰竭和双侧输尿管肾盂积水、远端输尿管狭窄、逼尿肌肥大和前列腺增生，腹部超声检查未发现明显的排尿后残余尿量。患者接受了双侧输尿管支架置入术及经尿道前列腺切除术。患者术后3天出院，无明显并发症。在术后3个月的随访检查中，取出输尿管支架，患者排尿顺畅，无肾功能衰竭。
这是一种极其罕见的情况，由于可能合并严重的梗阻性尿路病和慢性肾功能衰竭，因此具有重要的诊断意义。
