Urushibara Masayasu, Shimizu Yohei, Matsumoto Yuuki, Okumura Taisuke, Nagata Masakazu, Ishizaka Kazuhiro
Department of Urology, Teikyo University Hospital, Mizonokuchi, 5-1-1, Futago, Takatsu-ku, Kawasaki City, Kanagawa Pref., 213-8507, Japan.
Urol Case Rep. 2023 Mar 1;47:102369. doi: 10.1016/j.eucr.2023.102369. eCollection 2023 Mar.
Dystrophic calcification (DC) after transurethral resection of prostate (TURP) is rare. In our patient, bipolar TURP was performed by an experienced urologist, without complications. Seven months later, he developed a tingling urethral sensation, difficulty in urination, urgency, and perineal discomfort. Computed tomography (CT) showed a high-density area occupying the prostatic resection cavity. Re-surgery involved laser ablation of the DC. Two months later, the DC recurred. At the second re-surgery, the DC was removed without using electricity. Repeat CT at 13 months showed near complete disappearance of the DC. Wound healing might interrupt the vicious cycle of DC recurrence.
经尿道前列腺电切术（TURP）后发生营养不良性钙化（DC）的情况较为罕见。在我们的患者中，一位经验丰富的泌尿科医生进行了双极TURP，未出现并发症。七个月后，他出现尿道刺痛感、排尿困难、尿急和会阴不适。计算机断层扫描（CT）显示前列腺切除腔内有一个高密度区域。再次手术包括对DC进行激光消融。两个月后，DC复发。在第二次再次手术中，未用电去除了DC。术后13个月复查CT显示DC几乎完全消失。伤口愈合可能会中断DC复发的恶性循环。
