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UroLift术后盆腔血肿:一例病例报告及文献综述

Pelvic Hematoma After UroLift: A Case Report and Literature Review.

作者信息

Rodríguez-Fernández Laura F, Bernaschina-Bobadilla Claudio P

机构信息

Surgery, Ponce Health Sciences University, Ponce, PRI.

Urology, St. Luke's Episcopal Hospital, Ponce, PRI.

出版信息

Cureus. 2023 Apr 27;15(4):e38193. doi: 10.7759/cureus.38193. eCollection 2023 Apr.

DOI:10.7759/cureus.38193
PMID:37252539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10223866/
Abstract

UroLift is a novel, minimally invasive surgical technique used to treat bladder outlet obstruction due to benign prostatic hyperplasia (BPH). UroLift was granted US FDA approval in 2013, and so far, it has gained acceptance and popularity worldwide. In this case report, we present a 69-year-old male patient that developed a pelvic hematoma with subacute clinical manifestations two months following UroLift. The patient was managed conservatively, resulting in the complete resolution of the hematoma. As more surgeons are trained, and the caseload increases, we expect to see more complications related to this novel technique. Surgeons should be aware of this procedure's potential short- and long-term complications.

摘要

UroLift是一种用于治疗良性前列腺增生(BPH)所致膀胱出口梗阻的新型微创手术技术。UroLift于2013年获得美国食品药品监督管理局(FDA)批准,迄今为止,它已在全球范围内得到认可并广泛应用。在本病例报告中,我们介绍了一名69岁男性患者,其在接受UroLift手术两个月后出现了具有亚急性临床表现的盆腔血肿。该患者接受了保守治疗,血肿得以完全消退。随着越来越多的外科医生接受培训以及病例数量的增加,我们预计会看到与这种新技术相关的更多并发症。外科医生应了解该手术潜在的短期和长期并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b7/10223866/165b1cc02a0b/cureus-0015-00000038193-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b7/10223866/635b995128bd/cureus-0015-00000038193-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b7/10223866/281cb9992af2/cureus-0015-00000038193-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b7/10223866/165b1cc02a0b/cureus-0015-00000038193-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b7/10223866/635b995128bd/cureus-0015-00000038193-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b7/10223866/281cb9992af2/cureus-0015-00000038193-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b7/10223866/165b1cc02a0b/cureus-0015-00000038193-i03.jpg

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引用本文的文献

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World J Urol. 2025 Sep 2;43(1):532. doi: 10.1007/s00345-025-05895-9.
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本文引用的文献

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Large Pelvic Hematoma after UroLift® Procedure for Treatment of BPH with Median Lobe.用于治疗伴有中叶增生的良性前列腺增生的UroLift®手术后出现的巨大盆腔血肿
Case Rep Urol. 2022 Mar 16;2022:7065865. doi: 10.1155/2022/7065865. eCollection 2022.
2
Recent advances in UroLift: A comprehensive overview.UroLift的最新进展:全面概述。
Turk J Urol. 2022 Jan;48(1):11-16. doi: 10.5152/tud.2022.21149.
3
Large pelvic hematoma following UroLift procedure causing renal failure requiring dialysis.UroLift手术后出现巨大盆腔血肿,导致肾衰竭,需要透析治疗。
Urol Case Rep. 2020 Nov 30;34:101514. doi: 10.1016/j.eucr.2020.101514. eCollection 2021 Jan.
4
Pelvic Hematoma following Urolift Procedure for BPH.
Urology. 2020 Mar;137:208. doi: 10.1016/j.urology.2019.11.040. Epub 2019 Dec 24.
5
Pelvic Hematoma Following UroLift procedure for BPH.经尿道前列腺等离子剜除术(TURP)治疗 BPH 术后并发盆腔血肿。
Urology. 2019 Nov;133:e3-e4. doi: 10.1016/j.urology.2019.08.015. Epub 2019 Aug 24.
6
The Epidemiology of Benign Prostatic Hyperplasia Associated with Lower Urinary Tract Symptoms: Prevalence and Incident Rates.与下尿路症状相关的良性前列腺增生症的流行病学:患病率和发病率
Urol Clin North Am. 2016 Aug;43(3):289-97. doi: 10.1016/j.ucl.2016.04.001.
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Does this man with lower urinary tract symptoms have bladder outlet obstruction?: The Rational Clinical Examination: a systematic review.这位下尿路症状患者是否存在膀胱出口梗阻?:合理临床检查:系统评价。
JAMA. 2014 Aug 6;312(5):535-42. doi: 10.1001/jama.2014.5555.