Prostatic urethral lift is a treatment option for benign prostatic hyperplasia, yet information on surgeries following this procedure is scarce.
A 71-year-old man with persistent urinary retention following prostatic urethral lift underwent a secondary holmium laser enucleation of the prostate. The morcellation procedure, complicated by the presence of implants from the previous surgery, broke the morcellator blade. The fragmented blade was successfully retrieved without any organ damage. Postoperatively, the patient encountered no complications and showed improvement in his urinary symptoms.
This case highlights the potential risk of device breakage when a secondary surgery, specifically the morcellation process, is performed following prostatic urethral lift. Care must be taken to prevent interaction between the implants and the morcellator. Our case demonstrates the efficacy of holmium laser enucleation of the prostate as a salvage surgical intervention for patients in whom prostatic urethral lift has failed.
IJU case reports. 2023 Oct 28*** epublish ***
Takato Nishino, Fumiyasu Endo, Daiki Nakama, Masato Sakurai, Koki Tominaga, Eri Fukagawa, Masayuki Sano, Kazutaka Narimoto, Masaki Shimbo, Kazunori Hattori
Department of Urology St. Luke's International Hospital Chuo-ku Tokyo Japan.