Laparoscopic implantation of an artificial urinary sphincter around the prostatic urethra

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 pe...

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Detalles Bibliográficos
Autores principales: Chłosta, Piotr, Aboumarzouk, Omar, Bondad, Jasper, Szopiński, Tomasz, Korzelik, Ignacy, Borówka, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Point Of Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563016/
https://www.ncbi.nlm.nih.gov/pubmed/26413345
http://dx.doi.org/10.1016/j.aju.2015.06.001
Descripción
Sumario: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.

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