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[Intraprostatic prosthesis: echographic monitoring]
F Gaboardi1, T Zago, A Bozzola
1Divisione di Urologia, Ospedale Fatebenefratelli ed Oftalmico, Milano.
Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|June 1, 1991
Summary
A spiral urethral prosthesis offers a successful alternative for benign prostatic hyperplasia (BPH) patients with high operative risks. This minimally invasive procedure showed an 86% success rate, avoiding indwelling catheters.
Area of Science:
- Urology
- Medical Devices
Background:
- Benign prostatic hyperplasia (BPH) affects numerous men, often necessitating treatment.
- Some patients are unsuitable for traditional surgical interventions due to high operative risks or refusal.
Purpose of the Study:
- To evaluate the efficacy and safety of a spiral urethral prosthesis in BPH patients with high operative risk.
- To assess the spiral urethral prosthesis as an alternative to indwelling catheters.
Main Methods:
- A cohort of 22 BPH patients, deemed high-risk or unwilling to undergo surgery, were treated.
- The spiral urethral prosthesis was inserted under local anesthesia using ultrasound guidance and an endoscopic technique.
- Follow-up was conducted for 12 months post-insertion.
Main Results:
- Successful insertion of the spiral urethral prosthesis was achieved in 19 out of 22 patients (86%).
- The procedure was well-tolerated under local anesthesia with ultrasonic and endoscopic guidance.
- No major complications were reported during the 12-month follow-up period.
Conclusions:
- The spiral urethral prosthesis insertion is a feasible and effective treatment option for select BPH patients.
- This technique presents a favorable alternative to indwelling catheters, improving quality of life for high-risk individuals.