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Submitted: 08 May 2021
Accepted: 29 Oct 2021
ePublished: 10 Dec 2021
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J Renal Inj Prev. 2022;11(4): e30858.
doi: 10.34172/jrip.2022.30858
  Abstract View: 173
  PDF Download: 48

Case Report

A case report to a successful surgical treatment of non-catheter dependent benign prostatic hyperplasia as a cause of non-dilated obstructive uropathy

Nurul Hafiez Fijasri 1 ORCID logo, Mohamed Ashraf Mohamed Daud 2* ORCID logo, Wan Zainira Wan Zain 1 ORCID logo, Siti Rahmah Hashim Isa Merican 1 ORCID logo, Ikhwan Sani Mohamad 1 ORCID logo

1 Department of Surgery, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
2 Urology Unit, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
*Corresponding Author: Corresponding authors: Mohamed Ashraf Mohamed Daud, Email: mashrafmdaud@gmail.com, , Email: mashrafmdaud@usm.my

Abstract

Large benign prostatic hyperplasia (BPH) that obstructs the urinary bladder neck was a known cause of acute renal dysfunction. However, it is rare to get renal impairment in a non-dilated upper tract caused by BPH. We are reporting a case of a man who presented to our urology unit with remarkable renal impairment due to concurrent BPH, with no evidence of a dilated system. The patient is a 65-year-old man who presented to our urology unit for the complaints of severe irritative and obstructive symptoms of the lower urinary tract for the past few months. Initial renal function test showed severe renal impairment and ultrasound of kidney urinary and bladder (KUB) revealed normal bilateral kidneys with no evidence of hydronephrosis bilaterally. The patient subsequently underwent transurethral resection of the prostate (TURP) in our centre and his kidney function instantaneously returned to normal before discharging home. Dilated urinary system in obstructive uropathy does not always correspond to the degree of obstruction as in our case. Thus, immediate intervention to release obstruction in a non-dilated urinary system due to bladder neck obstruction is recommended.

Implication for health policy/practice/research/medical education:

NDOU due to bladder neck obstruction caused by benign prostatic hyperplasia is a rare condition. We are reporting a case, showing that, immediate surgical intervention such as TURP can immediately reverse acute kidney injury.

Please cite this paper as: Fijasri NH, Mohamed Daud MA, Wan Zain WZ, Hashim Isa Merican SR, Mohamad IS. A case report to a successful surgical treatment of non-catheter dependent benign prostatic hyperplasia as a cause of non-dilated obstructive uropathy. J Renal Inj Prev. 2022; 11(4): e30858. doi: 10.34172/jrip.2022.30858.

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