Chronic prostatitis effectively managed by transurethral prostatectomy (TURP) in a spinal cord injury male

Spinal cord injuries can lead to urinary problems like high bladder pressure and incontinence, increasing the risk of urinary tract infections (UTIs). These UTIs are usually treated with antibiotics, but if they keep coming back, more investigation is needed. This report describes a case where a man with a spinal cord injury had recurring UTIs and urethral discharge. After other treatments failed, he had a transurethral prostatectomy (TURP), a surgery to remove part of the prostate, which solved the problem. The surgery was successful, and the patient has been free of UTIs for four years. This suggests that TURP could be a good option for men with spinal cord injuries who have chronic prostatitis and recurring UTIs when other treatments don't work.

• 1
  The patient, a 52-year-old male with T12 AIS A SCI, experienced resolution of recurrent UTIs and urethral discharge after undergoing TURP.
• 2
  Pathology revealed chronic inflammatory elements and small abscesses in the prostate gland.
• 3
  Urodynamic testing one year after TURP showed stable bladder pressures with neurogenic detrusor underactivity and stress urinary incontinence, with a lower abdominal leak point pressure (ALPP).