LOWER URINARY TRACT OBSTRUCTION DUE TO BENIGN PROSTATIC HYPERPLASIA IN KIDNEY TRANSPLANT RECIPIENTS: A CLINICAL CASE REPORT

Nguyen Vu Le1,2, , Thanh Tu Luong1, Dau Quyen Ngo1,3, Minh Tuan Tran1, Thanh Hai Pham1, Truong Thanh Do1,3
1 Bệnh viện Hữu nghị Việt Đức
2 Trường Đại học Y Dược - Đại học Quốc gia Hà Nội
3 Trường Đại học Y Hà Nội

Main Article Content

Abstract

Objectives: To report 2 cases of post-transplant urinary retention at VietDuc University  Hospital  and  compare  clinical  outcomes.  Methods: A descriptive, analysed study was conducted on 2 kidney transplant recipients, including clinical presentation, management, and follow-up outcomes. Results: Case 1 was a 62-year-old male with BPH, developing urinary retention on postoperative day 14. Medical therapy was ineffective, and serum creatinine increased after catheter removal. Transurethral resection of the prostate (TURP) restored graft function; case 2 was a 50-year-old male with diabetes mellitus, developing sepsis due to a prostatic abscess post-transplantation. After intensive antibiotic therapy, TURP and abscess drainage into the bladder were performed, with renal function returning to baseline. Conclusion: In males aged ≥ 50 years, pre-transplant evaluation and management of BPH are essential. Early intervention for lower urinary tract obstruction improves symptoms and preserves graft function.

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References

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