[Endourethral drainage of the bladder in patients with prostatic adenoma]

Cystostomy catheterization of urinary bladder is the commonest method of choice in the treatment of patients with prostatic adenoma complicated by pronounced intercurrent pathology. To avoid the necessity of male urinals the technique of intraurethral splinting was used in 5 patients with nitinol spiral introduced in the prostatic part of the urethra. Therefore, the urination was normalized in three of them (one person had cystostomy catheter). The long-term observation evidenced of spiral stable position and step-by-step rehabilitation of detrusor function. There was a case of spiral incrustation and still another of spiral displacement when an attempt was made to pass the urethral catheter down the inside of nitinol splint. Though the aforementioned method of recovery of normal urination is a promising one, further clinical trials are required.