[The prostate coil. A new form of treatment of urinary retention in men. Clinical experiences during a 6-month observation period].
A prostate spiral developed in Denmark may be introduced with a special catheter under local anaesthesia under the guidance of transabdominal ultrasonic scanning. Forty-four consecutive patients with retention of urine were treated with the prostate spiral. Ultrasonic-guided introduction was successful in 33 patients (73%). Cystoscopy proved necessary for introduction of the spiral in six patients and, in two cases, it was introduced over a ureteric catheter. In four patients the spiral could not be introduced on account of pronounced curving of the prostatic urethra. On follow-up examination after six months, eight patients had died with spirals which functioned well. The spiral had been removed in 12 patients and, in six of these, the problems could be attributed to the spiral. Nineteen out of 21 patients with the spiral in situ had subjectively satisfactory miction. The median maximal flow was 9.4 ml/s (range 1.0-21.3 ml/s). Ultrasonically-guided introduction of the prostate spiral under local anaesthesia is an easy and rapid procedure. The spiral is a good alternative to urethral indwelling catheter, also during the waiting time before prostatectomy.
Nielsen
K K
KK
Klarskov
O P
OP
Nordling
J
J
Holm
H H
HH
Andersen
J T
JT
D000368:Aged; D002408:Catheters, Indwelling; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011470:Prostatic Hyperplasia / Q000150:complications*; D014546:Urinary Catheterization; D014555:Urination Disorders / Q000209:etiology / Q000628:therapy*
Prostataspiral. En ny behandling af urinretention hos maend. Kliniske erfaringer med 6 månders observationstid.