钬激光剜除前列腺并经皮肾造瘘至移植肾治疗重度良性前列腺增生伴膀胱输尿管反流患者——一例报告

Holmium Laser Enucleation of the Prostate With Percutaneous Nephrostomy Into the Transplanted Kidney in Patient With Severe Benign Prostatic Hyperplasia With Vesicoureteral Reflux - A Case Report.

作者信息

Nohara Takahiro, Matsuyama Satoko, Shima Takashi, Kawaguchi Shohei, Seto Chikashi

机构信息

Department of Urology, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, Toyama 930-8550, Japan.

出版信息

Urol Case Rep. 2015 Dec 10;4:33-5. doi: 10.1016/j.eucr.2015.11.003. eCollection 2016 Jan.

DOI:10.1016/j.eucr.2015.11.003

PMID:26793574

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4719790/

Abstract

A 66-year-old male, who had received renal transplantation 10 years before, was admitted to our hospital with urinary retention. The prostate volume was 169.2 ml. Furthermore, grade 5 vesicoureteral reflux (VUR) was shown in the cystography. Holmium laser enucleation of prostate (HoLEP) was performed, and percutaneous nephrostomy to the transplanted kidney was performed simultaneously to prevent from severe perioperative infection. After that, renal graft function improved and no urinary retention reoccurred, although surgical repair against VUR was necessary 10 months after HoLEP. We conclude that surgical treatment for BPH after kidney transplantation should be strongly considered with care for infections.

摘要

一名66岁男性，10年前接受了肾移植，因尿潴留入住我院。前列腺体积为169.2毫升。此外，膀胱造影显示5级膀胱输尿管反流（VUR）。进行了钬激光前列腺剜除术（HoLEP），并同时对移植肾进行了经皮肾造瘘术，以防止严重的围手术期感染。此后，移植肾功能改善，未再出现尿潴留，尽管在HoLEP术后10个月需要针对VUR进行手术修复。我们得出结论，肾移植后良性前列腺增生的手术治疗应谨慎考虑感染因素。