Rahman Syed, Harvey Neil, Moore Katie
Department of Urology, Manchester Royal Infirmary, United Kingdom.
Urol Case Rep. 2022 Jan 24;42:102016. doi: 10.1016/j.eucr.2022.102016. eCollection 2022 May.
Urinary retention in penile calciphylaxis is a rare phenomenon due to its association with end-stage renal failure. A 48 year-old male was noted to have a lesion with necrotic appearances overlying his urethral meatus with increasing bladder volumes. He is on haemodialysis for end-stage renal failure and was being treated for infected calciphylaxis ulcers on his thigh. The current literature provides little guidance on managing urinary retention in this cohort of patients. We recommend that ultrasound-guided aspiration of the bladder should be performed in patients with glanular penile calciphylaxis who develop urinary retention as it offers a high safety profile.
阴茎钙化防御中的尿潴留是一种罕见现象,因为它与终末期肾衰竭有关。一名48岁男性尿道口出现坏死外观的病变,膀胱容量不断增加。他因终末期肾衰竭正在接受血液透析,且正在接受大腿部感染性钙化防御溃疡的治疗。目前的文献对于管理这类患者的尿潴留几乎没有提供指导。我们建议,对于发生尿潴留的阴茎头钙化防御患者,应进行超声引导下膀胱穿刺抽吸,因为其安全性高。