医学
前列腺切除术
尿道
泌尿科
外科
男性尿道
前列腺
前列腺尿道
尿失禁
作者
Andreia Cardoso,Estevão Lima
出处
期刊:Current Opinion in Urology
[Ovid Technologies (Wolters Kluwer)]
日期:2021-01-01
卷期号:31 (1): 18-23
标识
DOI:10.1097/mou.0000000000000836
摘要
Purpose of review The aim of this study was to review recent development in urethra and ejaculation preserving laparoscopic and robotic simple prostatectomy. Recent findings Since Madigan prostatectomy original description in 1990, to recent reports of robotic-assisted surgery using this urethra-sparing technique, many studies have suggested the advantages of the preservation of urethra, bladder neck and ejaculatory ducts, when removing adenomatous tissue in benign prostatic obstruction (BPO) surgery. Allying anatomical preservation of this structure with the well known benefits of minimally invasive procedures seems to reduce postoperative haematuria, obviating the need for bladder irrigation, with shorter catheterization and hospitalization times, less risk of urethral stricture and, of utmost importance, reducing rates of retrograde ejaculation. Summary Urethra and bladder neck sparing techniques, especially in minimally invasive simple prostatectomy procedures, seem to provide real benefits, not only in the maintenance of preoperative potency and antegrade ejaculation but also accomplishing better perioperative outcomes, with faster patient recovery, and less complications. These techniques might well be the future standard techniques for sexually active men with large benign prostatic hyperplasia (BPH) requiring surgery.
科研通智能强力驱动
Strongly Powered by AbleSci AI