UroLift治疗AMS 700ms阴茎假体患者的下尿路症状。文献中首次报道的病例

Adam V. Jones, Y. C. Phan, W. Mahmalji
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引用次数: 1

摘要

UroLift系统(Teleflex Inc.)是一种微创非烧蚀技术,用于治疗男性下尿路症状(LUTS)引起的良性前列腺增生。它已被引入作为经尿道前列腺切除术(TURP)的替代方案,以避免任何不必要的副作用,如勃起功能障碍,住院和导尿。一名68岁的LUTS患者,有麻烦的LUTS和明显的合并症,提出考虑使用UroLift以避免更具侵入性的TURP手术相关的风险。该患者先前曾因勃起功能障碍难以药物治疗而植入AMS 700ms植入式阴茎假体(IPP)。据作者所知,目前还没有关于使用UroLift设备治疗有IPP的男性LUTS的报道或发表的文献。本病例报告旨在介绍这一独特的病例,并讨论在IPP存在时使用UroLift装置的手术技术。
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UroLift for the Treatment of Lower Urinary Tract Symptoms in a Patient with AMS 700 MS Implanted Penile Prosthesis. The First Reported Case in the Literature
The UroLift system (Teleflex Inc.) is a minimally-invasive and non-ablative technique used for the treatment of male lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia. It has been introduced as an alternative to transurethral resection of the prostate (TURP)  to avoid any unwanted side affects such as erectile dysfunction, hospital stay and catheterisation. A 68-year old patient with bothersome LUTS and significant co-morbidities presented for consideration of UroLift to avoid the risks associated with more invasive TURP surgery. The patient had previously had an AMS 700 MS implanted penile prosthesis (IPP) inserted for erectile dysfunction refractory to medical therapy. To the authors best knowledge, there have been no reports or published literature on the use of the UroLift device to treat male LUTS in the presence of an IPP. This case report aims to present  this unique case and discuss operative technique for use of the UroLift device in the presence of an IPP.
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