警惕曾植入金属前列腺缝合器的患者进行双极经尿道前列腺切除术

Jianliang Liu, Nathan Lawrentschuk, Dixon T S Woon
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引用次数: 0

摘要

金属前列腺缝合术(如 UroLift)是一种微创治疗方法,适用于因良性前列腺增生症(BPH)导致膀胱出口梗阻的男性。虽然它能迅速缓解症状并保留性功能,但与其他医疗设备的意外相互作用可能会影响手术过程。在这封信中,我们重点介绍了五例在经尿道前列腺切除术(TURP)和刺激闭孔神经的过程中,订书钉金属植入物导致双极能量装置受损的病例。激光还可能反射金属前列腺植入物,导致激光设备故障。对于已有金属前列腺植入物、需要进一步经尿道手术治疗阻塞性良性前列腺增生症的患者,应考虑采用单极前列腺切除术,以防止双极器械损坏和闭孔神经损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beware of Bipolar Transurethral Resection of Prostate in Patients with Previously Inserted Metallic Prostate Stapling Devices
Metallic prostate stapling (e.g., UroLift) is a minimally invasive treatment option for men with bladder outlet obstruction from benign prostatic hyperplasia (BPH). While it provides rapid relief and preserves sexual function, unexpected interactions with other medical devices can compromise surgical procedures. In this letter, we highlight five cases where stapled metallic implants resulted in damage to bipolar energy device during transurethral resection of the prostate (TURP) and stimulation of obturator nerve. Laser may also reflect off metallic prostate implants which can result in laser equipment malfunction. Monopolar TURP should be considered in patients with existing metallic prostate implants who need further transurethral surgery for obstructive BPH to prevent bipolar instrument damage and obturator kick.
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