Hemolytic Uremic Syndrome Following Holmium Laser Enucleation of the Prostate: A Case Report

TL;DR

A rare case of hemolytic uremic syndrome occurred after prostate surgery, requiring intensive care and leading to eventual kidney recovery.

Contribution

This case report highlights a rare complication of HoLEP surgery and emphasizes the need for early recognition and multidisciplinary care.

Findings

A 71-year-old male developed HUS following HoLEP surgery.

The patient required intensive care and renal replacement therapy.

Renal function showed progressive recovery after a month-long hospitalization.

Abstract

Holmium laser enucleation of the prostate (HoLEP) is a widely used surgical treatment for benign prostatic hyperplasia (BPH), and it is associated with a low incidence of severe complications. We report a rare case of hemolytic uremic syndrome (HUS) following HoLEP in a 71-year-old male. Shortly after the surgery, the patient developed altered consciousness, jaundice, and multiorgan failure, necessitating intensive care and renal replacement therapy. HUS was identified as the underlying cause. After a month-long hospitalization, the patient showed progressive renal recovery. This report underscores the importance of early recognition, multidisciplinary management, and close follow-up in achieving favorable outcomes in rare post-HoLEP complications.