• CASE REPORT
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A Rare Cause of Post-TURP Bladder Outlet Obstruction

Siddanagouda B Patil.1 Vinay S Kundargi.2 Santosh R Patil.3 Dhruva HM.4

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  .1Professor and Head, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka 
• .2Professor, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka 
• .3Associate Professor, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka 
• .4Senior Resident, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka
  
  Corresponding Author: Dhruva H M. Senior Resident, Department of Urology, Shri Bm Patil Medical College, Vijayapura, Karnataka, India. E-mail: [email protected]
  
  Received: September 28, 2025                  Published: October 08, 2025
  
  Citation: Dhruva HM. A Rare Cause of Post-TURP Bladder Outlet Obstruction. Int J Complement Intern Med. 2025;6(4):442–445. DOI: 10. 58349/IJCIM. 4. 6. 2025. 00162
  
  Copyright: ©2025 Dhruva HM. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially.
  
  Abstract 
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• 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.
  
  References 
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