Department of Urology, Kent and Canterbury Hospital, Canterbury, United Kingdom.
J Endourol. 2012 Jun;26(6):682-5. doi: 10.1089/end.2011.0493. Epub 2012 Feb 24.
Abstract Despite its increasing use in the management of symptomatic benign prostatic hyperplasia, the long-term complications after potassium-titanyl-phosphate photoselective vaporization of the prostate are poorly reported. We describe a rare complication of this technology-calculi formation in the prostatic urethra. All patients presented with visible hematuria and variable lower urinary tract symptoms up to 5 years after the original surgery. In all cases, the calculi were successfully removed endoscopically. Possible causes for this unusual complication are discussed, and the importance of warning patients about this potential long-term complication are highlighted.
尽管光选择性前列腺钬激光汽化术在治疗有症状的良性前列腺增生中的应用日益增多,但该技术长期并发症的报道却很少。我们描述了该技术的一种罕见并发症——前列腺尿道内结石形成。所有患者在最初手术后 5 年内均出现肉眼血尿和不同程度的下尿路症状。所有病例均经内镜成功取出结石。讨论了这种罕见并发症的可能原因,并强调了向患者告知这种潜在长期并发症的重要性。