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Related Experiment Videos

Experience with the intraprostatic spiral.

H Van Poppel1, L Baert, H Aswarie

  • 1Department of Urology, University Hospital, Leuven, Belgium.

British Journal of Urology
|December 1, 1991
PubMed
Summary
This summary is machine-generated.

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A prostatic spiral device can relieve urinary retention in men with benign prostatic hyperplasia (BPH) who cannot undergo surgery. However, device dislocation is a significant complication, even months after insertion.

Area of Science:

  • Urology
  • Medical Devices

Background:

  • Benign prostatic hyperplasia (BPH) causes lower urinary tract symptoms.
  • Surgical options for BPH are not suitable for all patients.
  • Indwelling intraureral devices offer an alternative for managing prostatic obstruction.

Purpose of the Study:

  • To evaluate the efficacy and complications of an indwelling intraurethral device for prostatic obstruction.
  • To determine the long-term outcomes of this device in selected patients.

Main Methods:

  • A follow-up study of 36 patients who received an indwelling intraurethral spiral device.
  • Patient follow-up extended beyond one year in some cases.
  • Assessment included monitoring for device dislocation and relief of urinary retention.

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Main Results:

  • The primary complication observed was dislocation of the prostatic spiral device.
  • Dislocation occurred both early and late after insertion, sometimes months later.
  • Endoscopic assessment of obstruction was deemed important pre-operatively.

Conclusions:

  • The prostatic spiral device can be effective for temporary relief of acute urinary retention in patients with BPH unsuitable for surgery.
  • Careful patient selection and pre-operative assessment are crucial.
  • Device dislocation is a significant concern requiring further investigation and management strategies.