IJ, a 57-year-old known hypertensive presented to the Urology unit of Federal Medical Centre Umuahia, Nigeria with haematuria and lower urinary tract symptoms. Seventeen days prior to his presentation, he had acute urinary retention which was relieved by urethral catheterization. Ultrasound of the abdomen revealed bilateral parenchymal disease of the kidneys. Based on clinical and investigation findings, a diagnosis of benign prostatic hypertrophy (BPH) in a patient with renal disease was made.
Retropubic prostatectomy was performed with epidural anaesthesia. Intraoperatively, he experienced shivering which was managed successfully. Postoperatively, he developed urinary tract infection and malaria which were successfully treated. Anaesthetic challenges specific to patients with renal impairment scheduled for prostatectomyunder regional anaesthesiain a resource limited setting are discussed.
