Urushibara M, Shimizu Y, Matsumoto Y, Okumura T, Nagata M, Ishizaka K. Gradual resolution over time of recurrent dystrophic calcification after bipolar transurethral resection of the prostate: A case report.
Urol Case Rep 2023;
47:102369. [PMID:
36915702 PMCID:
PMC10006704 DOI:
10.1016/j.eucr.2023.102369]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 02/24/2023] [Accepted: 03/01/2023] [Indexed: 03/05/2023] Open
Abstract
Dystrophic calcification (DC) after transurethral resection of prostate (TURP) is rare. In our patient, bipolar TURP was performed by an experienced urologist, without complications. Seven months later, he developed a tingling urethral sensation, difficulty in urination, urgency, and perineal discomfort. Computed tomography (CT) showed a high-density area occupying the prostatic resection cavity. Re-surgery involved laser ablation of the DC. Two months later, the DC recurred. At the second re-surgery, the DC was removed without using electricity. Repeat CT at 13 months showed near complete disappearance of the DC. Wound healing might interrupt the vicious cycle of DC recurrence.
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