Minar E, Schmidbauer C P, Zazgornik J, Schmidt P, Marosi L, Tscholakoff D
Acta Med Austriaca. 1983;10(5):161-4.
A case of a 55-year old patient is presented with terminal renal insufficiency and a massive prostatic adenoma causing urinary tract obstruction. The case history of the patient on mandatory dialysis 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 patients with prostatic adenomas may be frequently encountered. Dialysis patients require successful treatment of urinary tract obstructions prior to transplantation. Immunosuppressive therapy which follows transplantation increases risk of infection which can endanger the graft and the patient's life.
本文报告了一例55岁患者，患有终末期肾功能不全及巨大前列腺腺瘤导致尿路梗阻。该患者接受强制性透析治疗，病史复杂，反复出现对治疗耐药的尿路感染，伴有脓毒症发热发作和贫血复发。耻骨上经膀胱前列腺腺瘤切除术后，未再出现发热，尿培养阴性，贫血状况改善。由于血液透析项目及可能的肾脏移植的接受年龄上限已经提高，因此需要注意，前列腺腺瘤患者可能会经常遇到。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，这可能危及移植肾和患者生命。
