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[Endoscopic trigono-cervico-prostatotomy: our experience]
J E Blasco Alfonso1, V Gonzalvo Pérez, F Ramada Benlloch
1Servicio de Urología, Hospital General Universitario, Valencia.
Actas Urologicas Espanolas
|May 1, 1993
Summary
Longitudinal endoscopic transurethral incisions effectively treat vesical neck disease, with 21 of 24 patients showing significant clinical and urodynamic improvement. Minor complications occurred, but major adverse events were avoided.
Area of Science:
- Urology
- Surgical Procedures
Context:
- Vesical neck disease presents a significant clinical challenge.
- Endoscopic transurethral incisions offer a minimally invasive treatment option.
Purpose:
- To present the experience of treating vesical neck disease using longitudinal endoscopic transurethral incisions.
- To evaluate the clinical and urodynamic outcomes and complications of this procedure.
Summary:
- Twenty-four patients with vesical neck disease underwent longitudinal endoscopic transurethral incisions following the Orandi procedure.
- Twenty-one patients (87.5%) demonstrated clear clinical and urodynamic improvement.
- Complications included epididymorchitis (2 cases) and anterior urethral stenosis (1 case); no major hemorrhages, incontinence, or retrograde ejaculation occurred.
Impact:
- This technique provides a safe and effective treatment for vesical neck disease.
- It offers a favorable outcome profile with manageable complications.
- Highlights the potential for improved patient quality of life through minimally invasive urological surgery.