Large pelvic hematoma following UroLift procedure causing renal failure requiring dialysis

• Main Authors: Brandon Ewing, Nicole Alavi-Dunn, Harold Hamann, Teresa Danforth
• Format: Article
• Language: English
• Published: Elsevier 2021-01-01
• Series: Urology Case Reports
• Subjects: Benign prostatic hyperplasia; Minimally invasive; Prostatic urethral lift; Lower urinary tract symptoms; Voiding dysfunction; Endourology
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214442020304034

The prostatic urethral lift procedure is a minimally invasive treatment option for lower urinary tract symptoms due to benign prostatic hyperplasia, with reported benefit of less adverse effects than traditional treatments. While complications are usually minimal, our patient developed a large pelvic hematoma and the first case of organ failure after prostatic urethral lift. He required temporary dialysis during his extended postoperative admission, and his chronic kidney disease permanently progressed from stage III to stage IV. This case highlights the need for research into the safest preoperative and operative approach for prostatic urethral lift procedures in patients with comorbidities.