Al-Hajjaj Maher, Aljool Ali Alali
Department of Urology, Aleppo University Hospital, Aleppo, Syria.
Ann Med Surg (Lond). 2022 Apr 6;77:103591. doi: 10.1016/j.amsu.2022.103591. eCollection 2022 May.
Benign prostatic hyperplasia (BPH) is worldwide condition in male patients after the fourth decade. Most patients present with lower urinary tracts symptoms related to BPH. Transurethral resection of the prostate (TURP) is considered the standard treatment for decades.
A 56-year-old male patient presented with three months of lower urinary tract symptoms with one time a life of complete urinary retention. Ultrasound showed an enlarged prostate (90 cc). We performed transurethral resection of the prostate. One week later, he presented with complete loss of vision in the right eye with pain in the left leg. Left lower limb ultrasound revealed deep venous thrombosis. Brain MRI demonstrated left occipital lobe infarction. We started anticoagulants therapy. Three days later, he reclaimed his vision acuity completely.
Cerebrovascular accident after transurethral resection of prostate is considered an extremely rare event in urological practice. Full work-up to detect the cause should be performed. In most cases, cardiac anomalies are the main responsible of such events.
Loss of vision is a rare entity after TURP surgery. Anticoagulant therapy should be started once the diagnosis of occipital lobe infarction is confirmed.
良性前列腺增生（BPH）是40岁以后男性患者中普遍存在的疾病。大多数患者出现与BPH相关的下尿路症状。几十年来，经尿道前列腺切除术（TURP）一直被视为标准治疗方法。
一名56岁男性患者出现了三个月的下尿路症状，曾有一次完全尿潴留。超声显示前列腺增大（90立方厘米）。我们进行了经尿道前列腺切除术。一周后，他右眼完全失明，左腿疼痛。左下肢超声显示深静脉血栓形成。脑部MRI显示左枕叶梗死。我们开始了抗凝治疗。三天后，他的视力完全恢复。
经尿道前列腺切除术后发生脑血管意外在泌尿外科实践中被认为是极其罕见的事件。应进行全面检查以查明原因。在大多数情况下，心脏异常是此类事件的主要原因。
经尿道前列腺切除术后视力丧失是一种罕见情况。一旦确诊枕叶梗死，应立即开始抗凝治疗。
