在前列腺尿道周围腹腔镜植入人工尿道括约肌。
Laparoscopic implantation of an artificial urinary sphincter around the prostatic urethra.
作者信息
Chłosta Piotr, Aboumarzouk Omar, Bondad Jasper, Szopiński Tomasz, Korzelik Ignacy, Borówka Andrzej
机构信息
Department of Urology, Jagiellonian University, Cracow, Poland ; Department of Urology Medical Centre of Postgraduate Education, Warsaw, Poland ; Department of Urology, Institute of Oncology, Kielce, Poland.
Department of Urology, Jagiellonian University, Cracow, Poland ; Islamic University of Gaza, College of Medicine, Gaza, Palestine.
出版信息
Arab J Urol. 2015 Sep;13(3):187-90. doi: 10.1016/j.aju.2015.06.001. Epub 2015 Jun 29.
OBJECTIVE
To report the first laparoscopic periprostatic implantation of an artificial urinary sphincter (AUS) after a transurethral resection of the prostate.
BACKGROUND
The implantation of an AUS is a standard procedure for severe urinary incontinence. In men it is usually implanted through a perineal approach, with the cuff placed around the bulbous urethra, bladder neck, or even around the prostate.
METHOD
We report a laparoscopic periprostatic implantation of an AUS after a transurethral resection of a prostate in a 72-year-old-man with incontinence.
RESULTS
The operative duration was 180 min and the blood loss was 150 mL. There were no complications. After activating the AUS the patient was totally continent.
CONCLUSION
The laparoscopic periprostatic implantation of an AUS is a safe, effective and considerably less invasive procedure.
目的
报告经尿道前列腺切除术后首例腹腔镜下前列腺周围人工尿道括约肌（AUS）植入术。
背景
AUS植入是治疗严重尿失禁的标准手术。在男性患者中，通常通过会阴途径植入，袖带置于球部尿道、膀胱颈甚至前列腺周围。
方法
我们报告了一名72岁尿失禁男性患者经尿道前列腺切除术后腹腔镜下前列腺周围AUS植入术。
结果
手术时间为180分钟，出血量为150毫升。无并发症发生。激活AUS后患者完全控尿。
结论
腹腔镜下前列腺周围AUS植入术是一种安全、有效且创伤小得多的手术。
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