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Updated: Mar 28, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
Minimally Invasive Surgical Therapies in Patients with Catheter-Dependent Urinary Retention: A Collaborative
Pietro Scilipoti1, Marie Chicaud2, Mikael Abi Abdallah3
1Sorbonne Université, GRC n°39, Santé de l'homme, Hôpital Tenon, Paris, France.
Context:
Catheter-dependent urinary retention is a severe manifestation of benign prostatic obstruction, frequently affecting older and comorbid patients not eligible for standard surgery. Minimally invasive surgical therapies (MISTs) may be alternative options, although catheter-dependent men are often excluded from pivotal trials.
Objective:
A structured review of studies reporting outcomes of MISTs in this population was performed.
Evidence Acquisition:
Twenty-four studies including 1137 patients were identified, mostly retrospective, single-arm, and monocentric.
Evidence Synthesis:
Duration of preoperative catheter dependence varied widely (2-47 wks). Across MIST modalities, catheter-free rates (CFR) ranged from 66% to 100%.
Conclusions:
Prostatic artery embolization and water vapor thermal therapy (Rezūm) were the most frequently evaluated treatments, with CFR of 66-95.2% and 68-100%, respectively, and reintervention rates generally below 15%.
Patient Summary:
Major complications were uncommon. Overall, MISTs can achieve high CFR with low major morbidity in selected patients, but evidence remains heterogeneous, highlighting the need for standardized outcomes and comparative studies.
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