A Rare Cause of Post-TURP Bladder Outlet Obstruction

Authors

  • Siddanagouda B Patil Professor and Head, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka
  • Vinay S Kundargi Professor, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka
  • Santosh R Patil Associate Professor, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka
  • Dhruva HM Senior Resident, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka

Keywords:

Cystoscopy, Prostatic synechiae, acute urinary retention, bladder outlet obstruction, transurethral resection of the prostate

Abstract

Prostatic synechiae are rare fibrous adhesions within the prostatic urethra that can lead to bladder outlet obstruction (BOO) after transurethral resection of the prostate (TURP). This report presents a case of a 79-year-old male who developed recurrent lower urinary tract symptoms (LUTS) and acute urinary retention six months following an otherwise uneventful TURP. Cystoscopy revealed fibrous bands within the prostatic urethra consistent with prostatic synechiae. The adhesions were managed successfully with endoscopic resection. This case highlights the importance of considering synechiae in the differential diagnosis of recurrent BOO post-TURP and discusses the diagnostic and therapeutic approach to this uncommon complication.

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Published

2025-10-07

How to Cite

Patil, S. B., Kundargi, V. S., Santosh R Patil, & Dhruva HM. (2025). A Rare Cause of Post-TURP Bladder Outlet Obstruction. International Journal of Complementary and Internal Medicine, 6(4), 442–445. Retrieved from https://ijcimjournal.com/index.php/1/article/view/86

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