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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Bilateral ureteral obstruction revealing a benign prostatic hypertrophy: a case report and review of the literature

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2014
Autoren:
Omar Riyach, Mustapha Ahsaini, Youssef Kharbach, Mohammed Bounoual, Mohammed Fadl Tazi, Jalal Eddine El Ammari, Soufiane Mellas, Mohammed El Jamal Fassi, Abdelhak Khallouk, Moulay Hassan Farih
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-42) contains supplementary material, which is available to authorized users.
Omar Riyach, Mustapha Ahsaini contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

OR and MA are the principal authors and made major contributions to the writing of the manuscript. YK, MB, MFT, JE, SM, MJE, AK and MHF analyzed and interpreted the patient data and reviewed the literature. All authors read and approved the final manuscript.

Abstract

Introduction

Prostatic hyperplasia is the most frequent tumor in men older than 50 years of age. Bilateral hydronephrosis secondary to benign prostatic hypertrophy is a rare condition most often due to vesicoureteral reflux. Herein we report a case of a patient with bilateral hydronephrosis with distal ureter obstruction caused by detrusor hypertrophy due to prostatic hyperplasia, our analysis of the clinical data and a review of the relevant published literature.

Case presentation

We report a case of a 65-year-old Berber man with clinically significant storage, bladder-emptying symptoms and bilateral low back pain with renal biologic failure and bilateral ureterohydronephrosis, distal ureteral stenosis, detrusor hypertrophy and prostate hyperplasia without significant post-void residual urine volume visualized by abdominal sonography. The patient underwent bilateral JJ stent insertion with transurethral resection of the prostate. The patient was discharged 3 days after surgery without any obvious complications. At his 3-month follow-up examination, the JJ stent was removed and the patient had comfortable urination without renal failure.

Conclusion

This is an extremely rare condition that has important diagnostic considerations because of the possibility of comorbid severe obstructive uropathy and chronic renal failure.

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