Acute urinary retention secondary to urethral involvement of granulomatosis with polyangiitis

Authors

  • Patrick T. Anderson Schulich School of Medicine and Dentistry, Western University, Department of Surgery, Division of Urology, London Health Sciences Centre, London, Ontario, Canada
  • Stephanie Gottheil Schulich School of Medicine and Dentistry, Western University, Department of Medicine, Division of Rhuematology, London Health Sciences Centre, London, Ontario, Canada
  • Manal Gabril Schulich School of Medicine and Dentistry, Western University, Department of Pathology, London Health Sciences Centre, London, Ontario, Canada
  • Lillian Barra Schulich School of Medicine and Dentistry, Western University, Department of Medicine, Division of Rhuematology, London Health Sciences Centre, London, Ontario, Canada
  • Nicholas Power Schulich School of Medicine and Dentistry, Western University, Department of Surgery, Division of Urology, London Health Sciences Centre, London, Ontario, Canada

DOI:

https://doi.org/10.5489/cuaj.3555

Abstract

Granulomatosis with polyangiitis (GPA, formerly Wegener’s granulomatosis) is a systemic necrotizing vasculitis of small- and medium- sized blood vessels, primarily affecting the upper and lower respiratory tracts, as well as the kidneys. Urogenital manifestations of GPA are exceedingly rare and usually respond well to systemic immunosuppressive therapy. Here, we present a case of a 36-yearold female presenting with acute urinary obstruction secondary to urethral GPA involvement in the immediate postpartum period. Special consideration should be given to ruling out malignancy in all patients with a history of GPA and urethral lesions, especially when there is a history of cyclophosphamide treatment.

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Author Biography

Patrick T. Anderson, Schulich School of Medicine and Dentistry, Western University, Department of Surgery, Division of Urology, London Health Sciences Centre, London, Ontario, Canada

Medical Student

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Published

2017-01-12

How to Cite

Anderson, P. T., Gottheil, S., Gabril, M., Barra, L., & Power, N. (2017). Acute urinary retention secondary to urethral involvement of granulomatosis with polyangiitis. Canadian Urological Association Journal, 11(1-2), E38–40. https://doi.org/10.5489/cuaj.3555

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