耻骨后根治性前列腺切除术中 Foley 导管在精确膀胱尿道吻合中的新应用。
New use of Foley catheter for precise vesicourethral anastomosis during radical retropubic prostatectomy.
作者信息
Petroski R A, Thrasher J B, Hansberry K L
机构信息
Division of Urology, Madigan Army Medical Center, Tacoma, Washington, 98341-5000, USA.
出版信息
J Urol. 1996 Apr;155(4):1376-7.
PURPOSE
We describe a new method of using a Foley catheter to assist vesicourethral anastomosis during radical retropubic prostatectomy.
MATERIALS AND METHODS
A total of 81 patients underwent radical retropubic prostatectomy with this technique. Followup ranged from 4 to 48 months. Peri-catheter urethrograms were performed at 3 weeks. Patients were evaluated specifically for bladder neck contracture, urinary continence and prolonged catheterization.
RESULTS
Bladder neck contracture, occurred in 4.9% of the patients and 87.6% were completely continent of urine. Only 1 patient required extended postoperative catheterization.
CONCLUSIONS
Use of a Foley catheter for vesicourethral anastomosis is consistent and simple, and provided good surgical results in our experience.
目的
我们描述一种在根治性耻骨后前列腺切除术中使用Foley导尿管辅助膀胱尿道吻合的新方法。
材料与方法
共有81例患者采用该技术行根治性耻骨后前列腺切除术。随访时间为4至48个月。在3周时进行导尿管周围尿道造影。对患者进行膀胱颈挛缩、尿失禁和导尿管留置时间延长方面的专门评估。
结果
4.9%的患者发生膀胱颈挛缩，87.6%的患者完全尿控。仅1例患者术后需要延长导尿管留置时间。
结论
在我们的经验中，使用Foley导尿管进行膀胱尿道吻合操作简便且一致，手术效果良好。
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