A 78-year-old patient was admitted to emergency services for an alteration of the general state, febricula and back pain. On medical interview the patient described a painful urination. Macroscopic hematuria and expulsion of calcified mucosal debris were detected. The patient had endoscopic transurethral resection of the prostate surgery 6 months ago. On clinical examination there was a bilateral pain at percussion of the lumber region.
The digital rectal examination brought to light a soft but painful prostate. The blood test revealed an important inflammatory syndrome associated with renal failure (creatinemia: 1044 mmol/L; clearance (MDRD): 4 mL/min), with hyperkalemia. Source : Urology case report What is the likely diagnosis? What would be the possible treatment in this case? *This case is from Docplexus Editorial Team for Educational purpose only.
