Alnazari M, Bakhsh A, Rajih ES. Emphysematous sloughed floating ball after prostate water vaporization Rezum: A case report. World J Clin Cases 2023; 11(23): 5525-5529 [PMID: 37637678 DOI: 10.12998/wjcc.v11.i23.5525]
Corresponding Author of This Article
Emad Sabri Rajih, MBBS, MPH, Associate Professor, Surgeon, Department of Urology, College of Medicine, Taibah University, Al Madinah, Saudi Arabia. remad@taibahu.edu.sa
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Mansour Alnazari, Abdulaziz Bakhsh, Emad Sabri Rajih, Department of Urology, Taibah University, Madinah 16655, Al Madinah, Saudi Arabia
Emad Sabri Rajih, Urology Section, Department of Surgery, King Faisal Specialist Hospital & Research Center, Madinah, Saudi Arabia
Author contributions: All authors contributed equally to this paper.
Informed consent statement: Written informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Emad Sabri Rajih, MBBS, MPH, Associate Professor, Surgeon, Department of Urology, College of Medicine, Taibah University, Al Madinah, Saudi Arabia. remad@taibahu.edu.sa
Received: March 19, 2023 Peer-review started: March 19, 2023 First decision: June 15, 2023 Revised: June 23, 2023 Accepted: July 19, 2023 Article in press: July 19, 2023 Published online: August 16, 2023 Processing time: 149 Days and 16.7 Hours
Abstract
BACKGROUND
Rezūm™ water vapor therapy is a new minimally invasive endoscopic technology for the management and treatment of benign prostatic hyperplasia.
CASE SUMMARY
A 63-year-old male presented to our department with severe dysuria, frequency, urgency, and interrupted stream 2 mo after receiving Rezūm™ therapy. The symptoms were caused by a retained floating emphysematous necrotic sloughed tissue. We also discovered a persistent bacterial infection that was resistant to parenteral antimicrobial therapy. The treatment of the patient included surgical removal of the necrotic tissue.
CONCLUSION
Despite the good safety profile and minimal adverse events related to Rezūm™ therapy, major complications can still occur.
Core Tip: The current report describes a new finding with infected emphysematous sloughed tissue ball after Rezum therapy that is secondary to gas forming organism. It predisposed the patient post operatively to frequent urine retention and severe lower urinary tract symptoms that is refractory to antimicrobial therapy that was managed successfully by endoscopic removal.
