Ureteric orifice injury - a little emphasised complication following transurethral resection of prostate (turp) - a case report

Author: 
Samson Ravirajendran, Neelakandan Ramasamy, Natarajan Kumaresan, and Chandru Thirunavukkarasu

Ureteric orifice injury following transurethral resection of prostate (TURP), though rare now-a-days, can occur during resection of a large prostate gland with intravesical enlargement that hinders the visualisation of ureteric orifices. We report a case of 75 year old male who presented with right distal ureteric stricture following TURP done elsewhere 5 months back, initially managed by emergency right percutaneous nephrostomy, later followed by ureteric reimplantation. The aim of this case report is to emphasise the importance of visualisation of ureteric orifice prior to, during and after completion of TURP and understanding of thermal mechanics to prevent such injury and further morbidity.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2020.22007.4334
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