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Related Experiment Videos

[Intraprostatic prostheses].

J Vicente Rodríguez1, J Salvador-Bayarri, F Izquierdo de la Torre

  • 1Servicio de Urología, IUNA, Fundación Puigvert, Barcelona, España.

Archivos Espanoles De Urologia
|June 1, 1991
PubMed
Summary
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[Treatment of benign prostatic hypertrophy: present situation and future prospects].

Actas urologicas espanolas·2002

The intraprostatic spiral prosthesis offers a viable alternative for elderly, high-risk patients with benign prostatic hyperplasia (BPH), achieving good outcomes in 63% of cases. This minimally invasive option can facilitate subsequent curative surgery by improving patient condition.

Area of Science:

  • Urology
  • Medical Devices
  • Prosthetics

Context:

  • Benign prostatic hyperplasia (BPH) significantly impacts elderly men, often necessitating treatment.
  • High-risk surgical candidates with BPH require alternative management strategies.
  • Long-term indwelling urethral catheters are common in elderly patients with complex urological conditions.

Purpose:

  • To evaluate the efficacy and safety of the intraprostatic spiral prosthesis as a treatment for BPH, prostate cancer, and cervico-prostatic sclerosis.
  • To assess the prosthesis's utility in elderly, high-risk patients who are poor surgical candidates.
  • To compare the outcomes of the intraprostatic spiral prosthesis with other available prostatic stents.

Summary:

  • A study involving 49 elderly, high-risk patients (mean age 79) with BPH, prostate cancer, or cervico-prostatic sclerosis evaluated the intraprostatic spiral prosthesis.

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  • Placement of the prosthesis allowed subsequent curative surgery in 17% of cases.
  • Good outcomes, including improved micturition quality (74.3%) and flow rate (60%), were observed in 63% of patients over a mean follow-up of 22 months.
  • Complications included stent migration (7 cases), urethral perforation (1 case), secondary stricture (1 case), and prosthesis calcification (1 case).

    • Impact:

    • The intraprostatic spiral prosthesis demonstrates potential as a less invasive treatment option for select BPH patients.
    • It can serve as a bridge to surgery for high-risk individuals, improving their candidacy.
    • Understanding the complication profile is crucial for patient selection and management.