Back to Search
Start Over
The management of prostatic obstruction with urethral stents.
- Source :
-
The Canadian journal of urology [Can J Urol] 2015 Oct; Vol. 22 Suppl 1, pp. 75-81. - Publication Year :
- 2015
-
Abstract
- Introduction: Elderly men with multiple comorbidities may be unfit to undergo surgical management of benign prostatic obstruction (BPO). Permanent and temporary prostatic stents have been developed as an alternative to chronic indwelling catheters in men unfit for surgery.<br />Materials and Methods: Herein we review the past and present literature on the role and effectiveness of prostatic stents in the treatment of BPO.<br />Results: Permanent prostatic stents have largely been abandoned in North America due to unfavorable outcomes and improved technologies to allow for treatment of BPO. Currently, the temporary Spanner stent is the only available stent on the market, but its effectiveness has mostly been documented for temporary relief of tissue edema following minimal invasive ablative treatments for BPO.<br />Conclusions: The advent of well-tolerated surgical treatments for BPO (KTP laser vaporization, bipolar TURP, urethral lift devices) has diminished the need for permanent prostatic stents. The temporary Spanner stent is an alternative to urethral catheter, but requires adequate detrusor function and can cause irritative symptoms.
- Subjects :
- Aged
Aged, 80 and over
Follow-Up Studies
Frail Elderly
Humans
Male
Prostatic Hyperplasia complications
Prostatic Hyperplasia diagnosis
Prosthesis Implantation
Risk Assessment
Treatment Outcome
Urethral Obstruction etiology
Urethral Obstruction physiopathology
Prostatic Hyperplasia therapy
Prosthesis Design
Prosthesis Failure
Stents
Urethral Obstruction therapy
Urinary Catheterization methods
Subjects
Details
- Language :
- English
- ISSN :
- 1195-9479
- Volume :
- 22 Suppl 1
- Database :
- MEDLINE
- Journal :
- The Canadian journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 26497347