Tomada Nuno, Egydio Paulo
Department of Urology, Hospital da Luz Arrábida, Praceta Henrique Moreira 150, 4400-346 Vila Nova de Gaia, Portugal; Instituto de Investigação e Inovação em Saúde (I3S), Rua Alfredo Allen 208, 4200-135 Porto, Portugal.
Egydio Medical Center, Urology-Andrology, Av. Faria Lima 4.300, Ed. FL Offices conj. 710, 04538-132 São Paulo, Brazil.
Rev Int Androl. 2022 Jul-Sep;20(3):163-169. doi: 10.1016/j.androl.2020.12.002. Epub 2022 Mar 22.
In 2002, Steve Wilson pioneered new procedures for alternative placement of reservoirs for inflatable prostheses in patients who have suffered damage to the space of Retzius following pelvic surgery or obliteration of the transversalis fascia by mesh hernia repair. Since then, surgical techniques and tools for ectopic reservoir placement have gradually gained acceptance to minimize palpability, and the risk of visceral and vascular lesions for high risk patients has been all but eliminated. Lockout valves and high submuscular placement techniques are now recommended, and reports of vascular, bowel or bladder injuries are uncommonly rare. While surgeons continue their search for safer and more effective placement methods, new skills and instruments are constantly being introduced to make recommendations to minimize complications and provide safety and functionality. Additional studies and comparisons of techniques are needed to achieve a consensus of best practice for reservoir placement solutions.
2002年，史蒂夫·威尔逊开创了新的手术方法，用于为盆腔手术后Retzius间隙受损或因疝修补网片导致腹横筋膜闭塞的患者，重新放置可充气假体的储液器。从那时起，异位储液器放置的手术技术和工具逐渐被接受，以尽量减少可触及性，并且几乎消除了高危患者发生内脏和血管病变的风险。现在推荐使用锁定阀和高位肌下放置技术，血管、肠道或膀胱损伤的报告极为罕见。虽然外科医生仍在继续寻找更安全、更有效的放置方法，但新的技术和器械不断涌现，以提出建议，尽量减少并发症，并确保安全性和功能性。需要进行更多的技术研究和比较，以就储液器放置解决方案的最佳实践达成共识。
