关键词: radical prostatectomy urethral catheter entrapping vesicourethral anastomotic suture

来  源:   DOI:10.1002/iju5.12750   PDF(Pubmed)

Abstract:
UNASSIGNED: Urethral catheter entrapped in vesicourethral anastomotic sutures after radical prostatectomy is a relatively common complication. We herein present a novel and safe technique to remove urethral catheter.
UNASSIGNED: A 64-year-old man was diagnosed with prostate cancer. Subsequently he underwent laparoscopic radical prostatectomy. On postoperative Day 7, the patient experienced difficulty in removing the catheter, and entanglement of the suture with the urinary catheter was suspected. After conservative follow-up, a rigid endoscope was inserted into the urethra beside urethral catheter, identifying suture entanglement with the catheter. Finally, the suture was cut with scissor forceps.
UNASSIGNED: To the best of our knowledge, this is the first reported case in which scissor forceps were used to cut the entangled thread in such a complication. This case highlights a novel but simple method for difficult removal of an entrapped catheter.
摘要:
根治性前列腺切除术后膀胱尿道吻合缝线中的尿道导管是相对常见的并发症。我们在此提出了一种新颖且安全的技术来移除尿道导管。
一名64岁的男子被诊断出患有前列腺癌。随后,他接受了腹腔镜前列腺癌根治术。术后第7天,患者出现拔除导管困难,怀疑缝合线与导尿管缠结。经过保守的随访,在尿道导管旁插入了一个坚硬的内窥镜,识别缝线与导管的缠结。最后,用剪刀钳切断缝合线。
据我们所知,这是在这种并发症中使用剪刀钳切割缠结线的第一例报道。这种情况突出了一种新颖但简单的方法,用于难以去除截留的导管。
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