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[Intravesical foreign body secondary to intraprostatic ethanol injection.]
Alessandri Rafael Espinoza1, Wendy Arenilla1, Jasson Lavi1
1Servicio de Urología. Hospital Universitario de Caracas. Venezuela.
Archivos Espanoles De Urologia
|November 8, 2019
Summary
Intraprostatic ethanol injection can rarely lead to bladder foreign bodies composed of prostatic tissue. These masses can cause urinary retention and infection, posing diagnostic and therapeutic challenges.
Area of Science:
- Urology
- Surgical Complications
- Medical Device Technology
Background:
- Intraprostatic ethanol injection is an alternative treatment for benign prostatic hyperplasia.
- Rare complications can arise from this minimally invasive procedure.
Observation:
- Two cases of bladder foreign body formation after transrectal ethanol injection for benign prostatic enlargement are described.
- Patients presented with urinary infection and acute urinary retention.
Findings:
- Histological examination revealed prostatic hyperplasia and necrosis in one case, and suppurative inflammation in the other.
- These foreign bodies acted as a nidus for infection and caused bladder outlet obstruction.
Implications:
- This complication highlights the need for careful patient selection and monitoring after intraprostatic ethanol injection.
- Management of these prostatic tissue foreign bodies can be challenging, requiring endoscopic or surgical intervention.
