scholarly journals Tips for operation of inguinal hernia after implantation of artificial urinary sphincter following radical prostatectomy: report of two cases

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Ryusuke Saito ◽  
Naoki Tanaka ◽  
Takashi Aizawa ◽  
Hirofumi Imoto ◽  
Akihiro Yamamura ◽  
...  

Abstract Urinary incontinence is one of the common complications after radical prostatectomy along with inguinal hernia. Artificial urethral sphincter implantation is widely accepted as a treatment option. We report two surgical cases of inguinal hernia after artificial urethral sphincter implantation for urinary incontinence following radical prostatectomy. In Case 1, since the device went through the inguinal canal, adhesion around the pubis was extremely hard. In Case 2, the device was placed on the ventral side of the rectus abdominis muscle, so it was operable almost as normal. In each case, the surgical procedure was considered carefully after confirming the location of the device by preoperative computed tomography and ultrasonography. Hernia repair was successfully performed using the Lichtenstein method. There are few reports regarding surgical repair of inguinal hernia following artificial urinary sphincter implantation. Preoperative image and appropriate choice of approach could facilitate safe and secure surgery.

2001 ◽  
Vol 166 (5) ◽  
pp. 1755-1758 ◽  
Author(s):  
ANGELO E. GOUSSE ◽  
SHAHAR MADJAR ◽  
MARIE-MAY LAMBERT ◽  
IRVING J. FISHMAN

2001 ◽  
pp. 1755-1758 ◽  
Author(s):  
ANGELO E. GOUSSE ◽  
SHAHAR MADJAR ◽  
MARIE-MAY LAMBERT ◽  
IRVING J. FISHMAN

2017 ◽  
Vol 43 (3) ◽  
pp. 571-571
Author(s):  
Augusto Cesar Soares dos Santos Junior ◽  
Luíza de Oliveira Rodrigues ◽  
Daniela Castelo Azevedo ◽  
Lélia Maria de Almeida Carvalho ◽  
Mariana Ribeiro Fernandes ◽  
...  

2017 ◽  
Vol 43 (1) ◽  
pp. 150-154 ◽  
Author(s):  
Augusto Cesar Soares dos Santos Junior ◽  
◽  
Luíza de Oliveira Rodrigues ◽  
Daniela Castelo Azevedo ◽  
Lélia Maria de Almeida Carvalho ◽  
...  

2020 ◽  
Vol 13 (5) ◽  
pp. 22-29
Author(s):  
S.V. Kotov ◽  
◽  
I.S. Pavlov ◽  
◽  

Introduction. The main cause of stress urinary incontinence in men is prostate surgery - radical prostatectomy, transurethral resection of the prostate (TURP), enucleation, etc. The gold standard for the surgical treatment of urinary incontinence after prostate surgery is the implantation of an artificial urinary sphincter. For the treatment of mild/moderate urinary incontinence, implantation of synthetic urethral male slings is recommended. For the treatment of severe urinary incontinence, implantation of artificial urinary sphincter recommended. According to the Decree of the Moscow Government dated 12.24.2019 N 1822-PP, surgical interventions on the organs of the genitourinary system with the implantation of synthetic complex and mesh prostheses are included in the standards for the provision of high-tech medical care. Materials and methods. The paper presents a surgical technique for implantation of an artificial urinary sphincter model AMS 800 (Boston Scientific, Boston, MA, USA) and a male urethral sling AdVance XP (Boston Scientific, Boston, MA, USA). The indications for surgical treatment of stress urinary incontinence in men are listed, the criteria for selecting patients for the implantation of an artificial bladder sphincter and the installation of a urethral sling are described, and described in detail. Conclusion. The materials presented in the lecture will help urologists in mastering the technique of implantation of an artificial bladder sphincter and urethral sling in men.


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