Small cell lung cancer initially presenting with acute urinary retention: A case report

• Main Authors: Kayla Flewelling, B.S., Jamsheed Bahaee, B.S., Kent Kirby, M.D.
• Format: Article
• Language: English
• Published: Elsevier 2020-11-01
• Series: Urology Case Reports
• Subjects: Obstructive uropathy; Urinary retention; Rectovesical pouch; Metastases
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214442020302928

This case study discusses a patient presenting with urinary retention presumed secondary to benign prostatic hyperplasia (BPH). Suspicion for an underlying problem was raised when a second instance of urinary retention occurred after undergoing medical treatment and TUVP to correct BPH. Extensive workup resulted in diagnosis of small cell lung carcinoma with metastases and discovery of a large metastatic mass in the rectovesical pouch. The mass caused obstructive uropathy and renal failure which was managed with stenting and an indwelling catheter. Further investigation by practitioners may be required in patients whose urinary symptoms do not improve after standard BPH treatments.