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Recurrent Dystrophic Calcification of the Prostatic Resection Cavity After Transurethral Resection of the Prostate: Clinical Presentation and Endoscopic Management.

  • Zumstein V Department of Urology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Betschart P Department of Urology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Müllhaupt G Department of Urology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Jochum W Institute of Pathology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Schmid HP Department of Urology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Abt D Department of Urology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
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  • 2017-07-25
Published in:
  • Journal of endourology case reports. - 2017
BPH
LUTS
TURP
benign prostatic hyperplasia
complication
dystrophic calcification
lower urinary tract symptoms
morbidity
English Background: Dystrophic calcification (DC) can occur as a reaction to tissue damage and necrosis. So far, this has never been described as a complication after conventional transurethral resection of the prostate (TURP). Case Presentation: We report on a 59-year-old man who underwent uncomplicated monopolar TURP for lower urinary tract symptoms caused by benign prostatic hyperplasia. The patient showed an excellent course up to 5 weeks after the initial operation. Afterward he suffered from a rapid onset of irritative and obstructive voiding symptoms and pain. Complete DC of the prostatic resection cavity was found by cystoscopy and recurred quickly twice after Re-TURP despite anti-inflammatory treatment and normal urinary and metabolic findings. Complete recovery was only achieved by gently scraping off the calcifications avoiding further trauma to the residual prostatic tissue. Conclusion: In rare cases, delayed occurrence of irritative and obstructive voiding symptoms after TURP can be caused by DC of the prostatic resection cavity and might be misinterpreted as post-TURP infection. The pathomechanism of DC and the presented case suggest minimizing tissue trauma by cautious removal of calcifications rather than performing extensive Re-TURP.
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  • English
Open access status
bronze
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https://sonar.ch/global/documents/139736
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