The use of prostatic stents in patients with urinary retention who are unfit for surgery. An interim report.
Under local anaesthesia, 19 patients (18 with acute and 1 with chronic urinary retention) underwent insertion of an expandable stainless steel tubular "stent" into their prostatic urethra under fluoroscopic control. All were considered to be at major risk from prostatic surgery. The 18 patients with acute retention voided spontaneously following the initial stent procedure, but the patient with chronic retention required a period of suprapubic catheterisation. Following the endoscopic insertion of an additional stent this patient also voided spontaneously. During a follow-up period of 3 to 7 months (mean 4), 4 patients were lost to follow-up. The remaining 15 patients all void spontaneously. Recurrent asymptomatic urinary tract infections were seen in all but 1 patient initially, but none of those who were followed up for over 5 months had evidence of infection. Although the follow-up period is limited, the results to date demonstrate that the insertion of an expandable prostatic stent is a safe and reliable method of treating acute urinary retention in patients unfit for surgery. Further follow-up is required to assess long-term safety and to exclude late complications.
Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London.
J
J
McLoughlin
R
R
Jager
P D
PD
Abel
A
A
el Din
A
A
Adam
G
G
Williams
D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011470:Prostatic Hyperplasia / Q000150:complications*; D012307:Risk Factors; D015607:Stents; D014463:Ultrasonography; D001743:Urinary Bladder / Q000473:pathology; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D014555:Urination Disorders / Q000209:etiology; D014563:Urodynamics / Q000502:physiology