An effective case of HoLEP for urinary retention after prostatic urethral lift (PUL)

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  • 経尿道的前立腺吊り上げ術後の尿閉に対しHoLEPが有効であった一例

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<p>  A 78-year-old man visited his previous physician for abdominal distention in August 2021. Abdominal US showed residual urine of 750 mL and estimated prostate volume of 50 mL. He was placed a urethral catheter with a diagnosis of urinary retention, which was removed four times under medical treatment, but he did not urinate by himself. Then, he underwent a prostatic urethral lift (PUL), but he was unable to remove the urethral catheter. And so, he was referred to our hospital in January 2023 for transurethral enucleation of the prostate (HoLEP), and HoLEP was performed in March of the same year. The patient underwent HoLEP in March of the same year. HoLEP was started after removal of an implant in the prostatic urethra. There were no intraoperative or postoperative complications, and no obvious malignant findings on histopathology. The patient was discharged from the hospital on the third postoperative day. Since PUL was not covered by insurance until April 2022 in Japan, and there have been few reports of HoLEP after PUL, we report here.</p>

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