Thomas Jordan, Khelif Adrian, Arulanantham Shrine, Lemaitre Jean, Lalive d'Epinay Jean-Emmanuel
Hôpital du Jura Bernois, Department of Surgery, Saint-Imier, Switzerland.
Centre Hospitalier Universitaire Ambroise Paré, Department of Surgery, Mons, Belgium.
J Surg Case Rep. 2022 May 27;2022(5):rjac247. doi: 10.1093/jscr/rjac247. eCollection 2022 May.
Urological complaints related to primary hyperparathyroidism are frequently caused by the formation of urolithiasis. We report another rare clinical manifestation of primary hyperparathyroidism associated with urological symptoms. A 68-year-old man presented with dysuria related to benign prostatic hyperplasia. After undergoing endoscopic resection of the prostate, the patient's urinary complaints persisted for several months thereafter. Urinary ultrasound revealed numerous calcifications on the prostatic resection area, requiring a cystoscopy for excision and analysis of the calcifications. This was followed by an endocrine evaluation that revealed a primary hyperparathyroidism due to a single parathyroid adenoma, which was responsible for the prostatic calcifications and the patient's atypical symptomatology. The clinical evolution was favorable after parathyroidectomy. Symptomatic prostatic calcifications, due to primary hyperparathyroidism, on an area of the endoscopic prostate resection are uncommon. The only treatment is endocrine surgery.
与原发性甲状旁腺功能亢进相关的泌尿系统症状通常由尿路结石形成引起。我们报告了原发性甲状旁腺功能亢进与泌尿系统症状相关的另一种罕见临床表现。一名68岁男性因良性前列腺增生出现排尿困难。前列腺内镜切除术后，患者的泌尿系统症状持续数月。泌尿系统超声显示前列腺切除区域有大量钙化，需要进行膀胱镜检查以切除并分析钙化情况。随后的内分泌评估显示，由于单个甲状旁腺腺瘤导致原发性甲状旁腺功能亢进，这是前列腺钙化和患者非典型症状的原因。甲状旁腺切除术后临床进展良好。原发性甲状旁腺功能亢进导致的内镜前列腺切除区域的有症状前列腺钙化并不常见。唯一的治疗方法是内分泌手术。
