Related Experiment Videos
Experience with the intraprostatic spiral
H Van Poppel1, L Baert, H Aswarie
1Department of Urology, University Hospital, Leuven, Belgium.
Insights
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.
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.
Abstract:
Thirty-six patients have been followed up after insertion of an indwelling intraurethral device for prostatic obstruction. Follow-up exceeded 1 year in some cases. The main problem was dislocation of the spiral not only in the early stages but also after several months. Endoscopic assessment of the obstruction seems important during the pre-operative investigations. The ideal indication is prostatic obstruction in patients who are unsuitable for surgery and who need relief of acute retention for a limited time only. In selected patients the prostatic spiral has a place in the treatment of obstructive prostatism.