Abstract
IntroductionChanneling transurethral resection of the prostate is a recognized form of adjunctive treatment in the treatment of patients with prostate cancer. Despite the fact that complications arising from the procedure have been on the decline, rare complications like intestinal obstruction may occur.Case presentationThis is a case report of a 56 year old man who developed mechanical intestinal obstruction few days after a channeling TURP for advanced CaP.ConclusionThe report highlights the possibility of intestinal obstruction as a secondary event following a silent urinary bladder perforation during channeling TURP. Early recognition and intervention were responsible for the good outcome in this patient.
Highlights
Channeling transurethral resection of the prostate is a recognized form of adjunctive treatment in the treatment of patients with prostate cancer
The procedure is used in such patients to relieve urinary retention, though about 50% of patients will pass urine per urethram without catheters after varying lengths of time after hormonal ablation therapy alone[5]
A 56-year-old man presented to our unit 6 days after he had a channeling Transurethral resection of the prostate (TURP) and bilateral orchidectomy performed at another centre
Summary
Transurethral resection of the prostate (TURP) represents the accepted standard of surgical therapy for the management of symptomatic bladder outlet obstruction due to benign prostatic hyperplasia (BPH) [1]. A 56-year-old man presented to our unit 6 days after he had a channeling TURP and bilateral orchidectomy performed at another centre. He presented with generalized colicky abdominal pain, abdominal distension and constipation. Journal of Medical Case Reports 2008, 2:30 http://www.jmedicalcasereports.com/content/2/1/30 nary symptoms He had no known history of hypertension or diabetes patient and there was no previous history of intra-abdominal operations. His hemoglobin was 11.2 g/dL; the white cell count was 10.8 × 109/L, (neutrophilia of 73%) and platelet count of 258 × 109/L He had evidence of renal impairment: serum urea was 28.2 mMol/L (normal range: 2.5–6.5 mMol/L) and serum creatinine level was 744 μmol/L (53–106 μMol/l).
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