Benign prostatic hyperplasia(BPH)is one of the most common urologic conditions,with a rising global prevalence paralleling the aging global population[1,2].For patients who have failed conservative and medical managem...Benign prostatic hyperplasia(BPH)is one of the most common urologic conditions,with a rising global prevalence paralleling the aging global population[1,2].For patients who have failed conservative and medical management of BPH,there is an increasing number of surgical management options with a range of invasiveness,safety,and efficacy.Prostatic Urethral Lift(PUL)or UroLift(Neotract Inc.,Pleasanton,California,USA),is unique among these procedures in that a permanent metallic implant is left within the prostate,which serves to retract the lateral lobes.Given the permanent nature of the clips,their impact on future prostate investigation and intervention must be considered.展开更多
BACKGROUND Prostatic urethral lift(PUL)therapy is an alternative to minimally invasive and other surgeries in younger patients who want to preserve their sexual and ejaculatory functions,and in elderly male patients w...BACKGROUND Prostatic urethral lift(PUL)therapy is an alternative to minimally invasive and other surgeries in younger patients who want to preserve their sexual and ejaculatory functions,and in elderly male patients with benign prostatic hyperplasia who cannot be anesthetized because of the risk of anesthesia.The procedure can be performed as an outpatient and without anesthesia,and complications are few and temporary.In long-term follow-up,encrustations that require retreatment are rarely seen.CASE SUMMARY In our case,a 62-year-old prostate patient who had a PUL operation 8 years ago and had a stone on the PUL material near the bladder neck was treated.The patient’s stone was removed by endoscopic cystolithotripsy using pneumatic fragmentation.Bipolar transurethral resection of the prostate was applied to the patient in the same session.After the patient’s 7-year follow-up,the patient’s complaints relapsed,and cystoscopy was performed again.In cystoscopy,stone formation adjacent to the wall was observed at the junction of the bladder neck to the left lateral wall.The stone was fragmented with a pneumatic lithotripter.CONCLUSION Placing clips too close to bladder neck in the PUL procedure may result in clip migration.展开更多
文摘Benign prostatic hyperplasia(BPH)is one of the most common urologic conditions,with a rising global prevalence paralleling the aging global population[1,2].For patients who have failed conservative and medical management of BPH,there is an increasing number of surgical management options with a range of invasiveness,safety,and efficacy.Prostatic Urethral Lift(PUL)or UroLift(Neotract Inc.,Pleasanton,California,USA),is unique among these procedures in that a permanent metallic implant is left within the prostate,which serves to retract the lateral lobes.Given the permanent nature of the clips,their impact on future prostate investigation and intervention must be considered.
文摘BACKGROUND Prostatic urethral lift(PUL)therapy is an alternative to minimally invasive and other surgeries in younger patients who want to preserve their sexual and ejaculatory functions,and in elderly male patients with benign prostatic hyperplasia who cannot be anesthetized because of the risk of anesthesia.The procedure can be performed as an outpatient and without anesthesia,and complications are few and temporary.In long-term follow-up,encrustations that require retreatment are rarely seen.CASE SUMMARY In our case,a 62-year-old prostate patient who had a PUL operation 8 years ago and had a stone on the PUL material near the bladder neck was treated.The patient’s stone was removed by endoscopic cystolithotripsy using pneumatic fragmentation.Bipolar transurethral resection of the prostate was applied to the patient in the same session.After the patient’s 7-year follow-up,the patient’s complaints relapsed,and cystoscopy was performed again.In cystoscopy,stone formation adjacent to the wall was observed at the junction of the bladder neck to the left lateral wall.The stone was fragmented with a pneumatic lithotripter.CONCLUSION Placing clips too close to bladder neck in the PUL procedure may result in clip migration.
