Krajewski Wojciech, Nowak Lukasz, Patrzałek Patryk, Tomczak Wojciech, Chorbinska Joanna, Laszkiewicz Jan, Malkiewicz Bartosz, Szydelko Tomasz
University Center of Excellence in Urology, Department of Minimally Invasive and Robotic Urology, Wroclaw Medical University, Wroclaw, POL.
University Center of Excellence in Urology, Wroclaw Medical University, Wroclaw, POL.
Cureus. 2025 Jun 9;17(6):e85599. doi: 10.7759/cureus.85599. eCollection 2025 Jun.
Holmium laser enucleation of the prostate (HoLEP) is a widely used surgical treatment for benign prostatic hyperplasia (BPH), and it is associated with a low incidence of severe complications. We report a rare case of hemolytic uremic syndrome (HUS) following HoLEP in a 71-year-old male. Shortly after the surgery, the patient developed altered consciousness, jaundice, and multiorgan failure, necessitating intensive care and renal replacement therapy. HUS was identified as the underlying cause. After a month-long hospitalization, the patient showed progressive renal recovery. This report underscores the importance of early recognition, multidisciplinary management, and close follow-up in achieving favorable outcomes in rare post-HoLEP complications.
钬激光前列腺剜除术（HoLEP）是治疗良性前列腺增生（BPH）广泛应用的手术方法，且严重并发症发生率较低。我们报告一例71岁男性患者在接受HoLEP术后发生溶血性尿毒症综合征（HUS）的罕见病例。术后不久，患者出现意识改变、黄疸和多器官功能衰竭，需要重症监护和肾脏替代治疗。HUS被确定为根本病因。经过为期一个月的住院治疗，患者肾脏功能逐渐恢复。本报告强调了早期识别、多学科管理以及密切随访对于罕见的HoLEP术后并发症取得良好预后的重要性。
