Qin Kirby R, Gibson Luke, Manning Todd G, Sethi Kapil, Bolton Damien
Department of Urology, Austin Health, Heidelberg, Victoria, Australia.
Department of Paediatrics, Monash University, Clayton, Victoria, Australia.
Urol Case Rep. 2021 Nov 16;40:101948. doi: 10.1016/j.eucr.2021.101948. eCollection 2022 Jan.
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.
一名50岁男性因中叶前列腺肥大接受了小体积经尿道前列腺切除术。术后放置了三腔尿道导管。他随后出现胁腹疼痛、无尿和肌酐升高。CT显示双侧梗阻性尿路病。在没有梗阻性病变的情况下，怀疑导管球囊可能导致双侧输尿管口梗阻。球囊放气（从30毫升放至10毫升）并重新放置导管后，疼痛迅速缓解，尿量恢复。泌尿外科医生应将导管球囊视为梗阻性尿路病的一个病因，尤其是在正常三角区解剖结构被破坏的手术后。
