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Case Reports
. 2021 Nov 16:40:101948.
doi: 10.1016/j.eucr.2021.101948. eCollection 2022 Jan.

Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy

Kirby R Qin  1   2   3 , Luke Gibson  1 , Todd G Manning  1   3 , Kapil Sethi  1 , Damien Bolton  1   4
Affiliations
Case Reports

Ureteric orifice obstruction by catheter balloon Post-TURP: A rare cause of obstructive uropathy

Kirby R Qin et al. Urol Case Rep. .

Abstract

A 50-year-old male underwent small volume TURP for median lobe prostatic hypertrophy. Post-procedure, a 3-way urethral catheter was placed. He subsequently developed flank pain, anuria and creatinine rise. CT demonstrated bilateral obstructive uropathy. In the absence of obstructing lesions, it was suspected that the catheter balloon may have caused obstruction of bilateral ureteric orifices. Balloon deflation (from 30 to 10 mL) and catheter repositioning resulted in rapid resolution of pain and resumption of urine output. Urologists should consider the catheter balloon as a cause of obstructive uropathy, especially after procedures where normal trigonal anatomy is disrupted.

Keywords: BPH, benign prostatic hyperplasia; Foley catheter; LUTS, lower urinary tract symptoms; Obstructive uropathy; TURP; TURP, transurethral resection of prostate; UO, ureteric orifice; Ureteric orifice.

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Figures

Fig. 1
Fig. 1
Contrast-enhanced CT of the abdomen and pelvis, axial (left) and coronal (right) views, demonstrating mild hydronephrosis and hydroureter.
Fig. 2
Fig. 2
Contrast-enhanced CT of the abdomen and pelvis, sagittal (left) and coronal (right), showing indwelling urethral catheter with completely decompressed and contracted bladder.
See this image and copyright information in PMC

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