Wallstent endoprostheses for the relief of prostatic urethral obstruction in high risk patients.
Twenty-one patients with prostatic urethral obstruction who were unfit for surgery were treated with self-expandable stainless steel endoprostheses inserted under fluoroscopic guidance. The procedure was technically successful in all patients, although in one case a second stent was required 2 months later. One patient developed a urethral stricture in the 12-16 month follow up period. One case of epididymoorchitis and one case of septicaemia after stenting were treated successfully with antibiotics. Endoprostheses represent a satisfactory alternative to prostatectomy in high-risk patients.
Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, London.
A
A
Adam
R
R
Jäger
J
J
McLoughlin
A
A
el-Din
L
L
Machan
G
G
Williams
D J
DJ
Allison
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008722:Methods; D011470:Prostatic Hyperplasia / Q000150:complications*; D011859:Radiography; D015607:Stents; D014524:Urethral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014555:Urination Disorders / Q000628:therapy; D014563:Urodynamics