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[Problems with the intraurethral spiral]
H P Böss1, D Pestalozzi, H Knönagel
1Urologische Abteilung, Spital Limmattal, Schlieren.
Helvetica Chirurgica Acta
|October 1, 1992
Summary
The "urologic spiral" offers a conservative, non-surgical option for benign prostatic hyperplasia (BPH) treatment, aiming to improve bladder voiding. Early results show promise, but potential complications require careful consideration.
Area of Science:
- Urology
- Minimally Invasive Procedures
Background:
- Non-surgical treatments for benign prostatic hyperplasia (BPH) aim to improve bladder voiding without resection.
- Current non-surgical options, including drug therapy and thermic/dilating methods, rely on empirical data.
- Long-term catheterization remains a solution for many patients with prostatogenic infravesical obstruction.
Purpose of the Study:
- To evaluate the efficacy and safety of the intraprostatic "urologic spiral" as a conservative alternative for BPH treatment.
- To assess the potential of the "urologic spiral" in enabling controlled bladder voiding without residual urine.
Main Methods:
- Review of clinical applications of the intraprostatic "urologic spiral" (partial catheter).
- Analysis of early patient outcomes and complications reported in initial applications.
Main Results:
- Fabian first reported successful clinical application in 2 patients in 1980.
- Fabian later reported promising results in 48 patients.
- Initial applications revealed potential shortcomings and complications.
Conclusions:
- The "urologic spiral" presents a conservative alternative to traditional BPH treatments.
- While showing promise, the procedure requires further investigation due to observed complications.