Laparoscopic insertion of artificial periprostatic urinary sphincter.
The objective of this case report is to describe the laparoscopic insertion of an artificial periprostatic urinary sphincter. We report the case of a paraplegic patient in whom an artificial urinary sphincter was inserted in a periprostatic position by way of laparoscopy to treat stress urinary incontinence. In addition to laparoscopy being minimally invasive, its advantages include the excellent quality of retroprostatic dissection and the perfect visualization it gives at the level of cuff positioning with respect to the anatomic landmarks. It is more appropriate to be able to cleave the interprostatorectal space to ensure passage of the cuff under perfectly safe conditions.
Service d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Toulouse, France. xaviergame@hotmail.com
Xavier
X
Gamé
Raphael
R
Bram
Sami
S
Abu Anz
Nicolas
N
Doumerc
Julien
J
Guillotreau
Bernard
B
Malavaud
Pascal
P
Rischmann
D006801:Humans; D010535:Laparoscopy; D008297:Male; D011467:Prostate; D019919:Prosthesis Implantation / Q000379:methods*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016741:Urinary Sphincter, Artificial; D055815:Young Adult