Temporary prostatic urethral stenting as a provocative tool to determine surgical eligibility in complex bladder outlet obstructed patients: Our initial experience

Mark D. Tyson, Kimberly J. Hurd, Rafael N. Nunez, Christopher E. Wolter, Mitchell R. Humphreys

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background/Aims: To evaluate the usefulness of a temporary prostatic urethral stent to determine which complex surgical patients would benefit from definitive surgical management of their benign prostatic hyperplasia. Methods: We retrospectively analyzed our benign prostatic hyperplasia database and identified all patients that received at least one temporary prostatic urethral stent between April 2008 and December 2010. Results: Forty Spanner TM stents were placed in 20 patients. Mean age was 78.1 years and prostate size was 62.1 cm 3. Urinary retention was present in 60% (12/20) of patients. No statistically significant changes in mean maximal flow rate, average flow rate, and post void residual was noted. Seven patients (35%) did well with the stent and progressed to definitive surgical management whereas 10% of the cohort (2/20) leaked urine with the stent in place and subsequently went back to catheter management. Another 30% (6/20) were unable to tolerate the stent while 1 patient passed away unrelated to the stent. Conclusions: The use of the temporary prostatic urethral stent provided a good provocative test that enabled patients to experience what their voiding status would be if they were to undergo definitive surgical management.

Original languageEnglish (US)
Pages (from-to)82-86
Number of pages5
JournalCurrent Urology
Volume6
Issue number2
DOIs
StatePublished - Sep 1 2012

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Keywords

  • Benign prostatic hyperplasia
  • Stent

ASJC Scopus subject areas

  • Reproductive Medicine
  • Oncology
  • Urology

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