Long Bertrand, Bou Sopheap, Bruyere Franck, Lanson Yves
Service d'Urologie, Hôpital Bretonneau, Tours, France.
Prog Urol. 2006 Jun;16(3):384-5.
The frequency of vesicourethral anastomotic stricture after prostatectomy is estimated to be 14%, an average of 3 months after the operation. The authors report the cases of a 61-year-old man undergoing radical prostatectomy for localized prostate cancer. The postoperative course was marked by recurrent urinary retention and several urethrotomies failed to restore spontaneous voiding. A clip was finally visualized and removed by endoscopy. The patient has not experienced any further episodes of retention. This is the first published cases of clip migration responsible for anastomotic stricture after radical prostatectomy. This diagnosis must be considered in the case of repeated postoperative retention.
前列腺切除术后膀胱尿道吻合口狭窄的发生率估计为14%，平均在术后3个月出现。作者报告了一名61岁男性因局限性前列腺癌接受根治性前列腺切除术的病例。术后病程以反复尿潴留为特征，多次尿道切开术均未能恢复自主排尿。最终通过内镜观察到并取出了一个夹子。该患者未再出现尿潴留情况。这是首次发表的关于根治性前列腺切除术后夹子移位导致吻合口狭窄的病例。对于术后反复出现尿潴留的情况，必须考虑这一诊断。
