Author/Authors :
Chlosta, Piotr Jagiellonian University - Department of Urology, Poland , Chlosta, Piotr Medical Centre of Postgraduate Education - Department of Urology, Poland , Chlosta, Piotr Institute of Oncology - Department of Urology, Poland , Aboumarzouk, Omar Jagiellonian University - Department of Urology, Poland , Aboumarzouk, Omar Islamic University of Gaza - College of Medicine, Palestine , Bondad, Jasper Southend University Hospital - Department of Urology, UK , Szopinski, Tomasz Jagiellonian University - Department of Urology, Poland , Szopinski, Tomasz Medical Centre of Postgraduate Education - Department of Urology, Poland , Korzelik, Ignacy Institute of Oncology - Department of Urology, Poland , Borowka, Andrzej Institute of Oncology - Department of Urology, Poland , Borowka, Andrzej Southend University Hospital - Department of Urology, UK
Abstract :
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.
Keywords :
Artificial urinarysphincter , Laparoscopy , Urinary incontinence , TURP
