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Differentiation between neurogenic and prostatic obstruction using the intraprostatic spiral. A case report.
H Ovesen1, A L Poulsen, J Nordling
1Urological Department, Herlev Hospital, University of Copenhagen, Denmark.
Scandinavian Journal of Urology and Nephrology
|January 1, 1990
Summary
A urethral spiral is a simple tool to diagnose urinary obstruction causes. It helped identify prostatic hypertrophy in a long-term catheter patient, enabling successful surgery.
Area of Science:
- Urology
- Medical Devices
Background:
- Distinguishing between prostatic obstruction and neurogenic bladder dysfunction is crucial for effective treatment.
- Indwelling catheters can mask underlying voiding issues, complicating diagnosis.
Observation:
- A patient with a seven-year indwelling catheter history was evaluated.
- A urethral spiral was inserted to assess voiding dynamics.
Findings:
- The urethral spiral facilitated a normal voiding pattern, confirming prostatic hypertrophy as the obstruction source.
- This diagnostic approach led to a successful transurethral resection of the prostate (TUR-P).
Implications:
- Urethral spiral insertion offers a reversible and simple method for diagnosing lower urinary tract symptoms.
- This technique aids in differentiating causes of bladder outlet obstruction, guiding surgical interventions like TUR-P.