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Revista Cubana de Cirugía
On-line version ISSN 1561-2945
Abstract
SANTANA SARRHY, Lourdes and GOMEZ ARECES, René. The cavernous bodies' transposition for treatment of post-adenomectomy urinary incontinence. Rev Cubana Cir [online]. 2010, vol.49, n.3, pp. 0-0. ISSN 1561-2945.
This is the case of a male patient aged 78 with a history of benign prostatic hyperplasia surgery through a retropubic adenomectomy and after the urethral stent withdrawal he had an involuntary urine output in standing and sitting down positions. After 6 months the symptoms remained and intensified and multiple studies confirmed an iatrogenic lesion of external sphincter. A perineal transposition of cavernous bodies and a approximately 2,5 cm functional urethra was created. There was an immediate clinical improvement that initially solved completely the postsurgical urinary incontinence. At four year after surgery, patient presents only a low postmicturition dripping and slight urine output with great efforts improving the medical treatment.
Keywords : Transposition; cavernous bodies; urinary incontinence; adenomectomy.