Urinary retention secondary to presacral myelolipoma; first reported case diagnosed by prostate TUR and requiring a cystectomy

Obstructive voiding symptoms may exceptionally be caused by extrinsic compression. We herein present a singular case of a 68-year-old male that presented with urinary retention and underwent prostate trans-urethral resection (TUR) with histology showing benign prostatic hyperplasia admixed with larg...

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Bibliographic Details
Published in:International urology and nephrology 2005-12, Vol.37 (4), p.717-719
Main Authors: Orsola, A, Raventós, C, Trias, I, Español, I, Orsola, I
Format: Article
Language:English
Subjects:
Aged
Cystectomy
Humans
Male
Myelolipoma - complications
Myelolipoma - diagnostic imaging
Prostatic Hyperplasia - complications
Prostatic Hyperplasia - surgery
Prostatic Neoplasms - diagnostic imaging
Radiography
Transurethral Resection of Prostate
Urinary Retention - etiology
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Summary:Obstructive voiding symptoms may exceptionally be caused by extrinsic compression. We herein present a singular case of a 68-year-old male that presented with urinary retention and underwent prostate trans-urethral resection (TUR) with histology showing benign prostatic hyperplasia admixed with large amounts of myelolipoma tissue. To the best of our knowledge this is the first reported presacral myelolipoma diagnosed at prostate trans-urethral resection (TUR). Computed tomography revealed a 13 x 9 cm presacral mass displacing the rectum. Even though myelolipomas are regarded as benign, this case behaved aggressively since compressive effect evolved to severe constipation and eventually required a cystectomy.
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-005-0928-3