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Urethral device in women with chronic urinary retention: an alternative to self-catheterization?
Chafika Mazouni1, Gilles Karsenty, Frank Bladou
1Department of Urology, Marseille Public Hospital System, 249 Boulevard Sainte Marguerite, 13009 Marseille, France.
Objective:
To assess the efficacy and safety of a new urethral prosthesis in the management of chronic urinary retention in women as an alternative to intermittent or indwelling catheterization.
Methods:
Between May 1999 and July 2000, 60 women with chronic urinary retention were prospectively enrolled in the study. The prosthesis was inserted under local anaesthesia. A magnetic control unit activates the urethral device to achieve micturition. Duration of the experience, complications and compliance were evaluated.
Results:
Thirty patients were satisfied with the device. Discontinuation occurred in the first two weeks following implantation in 50% of cases. Bladder migration of the prosthesis occurred in two cases, urinary leakage around the device in four patients, spontaneous expulsion in two women and cystitis was diagnosed in two cases.
Conclusion:
This intraurethral prosthesis is an attractive, simple technique for use as an alternative to catheterization. Some untoward events and technical complications explained the number of discontinuations.
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