Open AccessRenal colic secondary to ureteral metastasis: Rare presenting manifestation of prostate cancer
Author(s) -
Mircea Valentin Pirvut,
Ionela Mihai,
Alexandra Ioana Micu,
Alexandru Tiberiu Priporeanu,
Vasile Baisanu,
Ionel Dudas,
Adrian Hașegan,
Nicolae Grigore
Publication year - 2020
Publication title -
medical science and discovery
Language(s) - English
Resource type - Journals
ISSN - 2148-6832
DOI - 10.36472/msd.v7i7.395
Subject(s) - medicine , prostate cancer , ureteroscopy , renal colic , metastasis , prostate , urinary system , biopsy , lower urinary tract symptoms , cancer , ureter , urology , surgery , radiology , pathology , alternative medicine
Objective: Ureteral metastasis of prostate cancer is a very rare pathology, that can be confused with an upper urinary tract urothelial carcinoma, with great implications in the surgical management and therapy of the disease.
Case: A 56-years old male patient admitted to the emergency room with 2 weeks history of left flank pain without low urinary tract symptoms or hematuria. PSA level was 43,4 ng/ml. The patient underwent prostate needle biopsy and ureteral biopsy using flexible ureteroscopy, after the Lich-Gregoire ureterovesical reimplantation. In this case, renal colic as the first symptom of a ureteral metastasis secondary to prostate cancer is extremely rare which diagnosed in the patient.
Conclusion: Neoureterocystostomy is a safe and effective treatment for ureteral obstruction due to prostate cancer metastasis, with low morbidity and significant benefits in terms of quality of life for patients with life expectancy more than 10 years.