Minar E, Schmidbauer C P, Zazgornik J, Schmidt P, Tscholakoff D, Marosi P
Urol Int. 1984;39(4):243-5. doi: 10.1159/000280985.
A 55-year-old patient presented with terminal renal insufficiency caused by lower urinary tract obstruction due to prostatic adenoma. The case history of the patient on regular dialysis treatment was complicated by recurrent, therapy-resistant urinary tract infections accompanied by septic fever outbreaks and anemic relapses. Following suprapubic transvesical adenomectomy, no fever episodes, negative urine cultures and improvement in the anemic condition were all noted. Due to the fact that the upper age limit for acceptance into a hemodialysis program and possible kidney transplantation has been raised, it is important to note that an increasing number of men with prostatic adenomas may be encountered in these collectives. Dialysis patients require successful treatment of urinary tract obstructions prior to transplantation. Immunosuppressive therapy which follows transplantation increases the risk of infection which can endanger the graft and the patient's life.
一名55岁患者因前列腺腺瘤导致下尿路梗阻引发终末期肾功能不全。该患者接受规律透析治疗的病史复杂，伴有反复出现的、对治疗耐药的尿路感染，并伴有败血症发热发作和贫血复发。耻骨上经膀胱腺瘤切除术后，未再出现发热情况，尿培养结果为阴性，贫血状况也有所改善。由于血液透析项目和可能的肾脏移植的接受年龄上限已经提高，需要注意的是，在这些群体中可能会遇到越来越多患有前列腺腺瘤的男性。透析患者在移植前需要成功治疗尿路梗阻。移植后进行的免疫抑制治疗会增加感染风险，这可能危及移植物和患者生命。
