Abstract
Recent anxieties about the risks of carrying out prostate surgery on elderly and unfit patients has generated considerable interest in a variety of recently developed urethral devices for holding open mechanically the prostatic urethra thereby avoiding the need for prostate surgery. Problems caused by leaving foreign material in the urinary tract are well recognised. Catheters, indwelling stents of any type and sutures will inevitably become infected and encrust with phosphatic deposits when left in contact with urine. Newer materials will reduce these problems but have failed to prevent them completely. Once infection or encrustation have occurred it is always necessary to remove the implanted material to deal with the problem satisfactorily. These difficulties have meant that implanted material in the lower urinary tract can only be used as a temporary measure to drain urine or to relieve obstruction whilst awaiting more definitive treatment.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Chapple, C.R., Milroy, E.J.G., Rickards, D. 1990. Permanently implanted urethral stent for prostatic obstruction in the unfit patient: preliminary report. Br. J. Urol. 66:58–65
Dick, R., Gillams, A., Dooley, J.S., Hobbs, K.E.F. 1989. Stainless steel mesh stents for biliary strictures. J. Interventional Radiol. 4: 95–98
Fabian, K.M. 1980. Der Intraprostatische “Partielle Katheter” ( Urologische Spirale ). Urologe A. 19: 236–238
Harrison, N.W., DeSouza, J.V. 1990. Prostate stenting for outflow obstruction. Br. J. Urol. 65:192–196
Milroy, E.J.G., Chapple, C.R., Cooper., J.E., et al. 1988. A new treatment for urethral strictures. Lancet i: 1424–1427
Milroy, E.J.G., Chapple, C.R., Eldin, A., Wallsten, H. 1989a. A new stent for the treatment of urethral strictures. Br. J. Urol. 63:392–396
Milroy, E.J.G., Chappie, C.R., Eldin, A., Wallsten, H. 1989b. A new treatment for urethral strictures: a permanently implanted urethral stent. J. Urol. 141: 1120–1122
Nielson, K.K., Kromann-Andersen, B., Nordling, J. 1989. Relationship between detrusor pressure and urinary flow rate in males with an intra-urethral prostatic spiral. Br. J. Urol. 64:275–279
Nissenkorn, I. 1989. Experience with a new self-retaining intraurethral catheter in patients with urinary retention. J. Urol. 142: 92–94
Nissenkorn, I., Richter, S. 1990. A self-retaining intra-urethral device. Br. J. Urol. 65:197–200
Nordling, J., Holm, H.H., Klarskov, P., Nielson, K.K., Andersen, J.T. 1989. Intraprostatic spiral: new device for insertion with patient under local anaesthetic and with ultrasonic guidance with three months of follow-up. J. Urol. 142: 756–758
Sarramon, J.P., Joffre, F., Rischmann, P., et al. 1989. Prosthese endourethrale Wallstent dans les stenoses recidivantes de l’urethre. Ann. Urol. 23: 383–387
Shaw, P.J.R., Milroy, E.J.G., Eldin, A. 1990. Permanent external sphincter stents in spinal injured patients. Br. J. Urol. 66:297–302
Sigwart, U., Puel, J., Mirkovitch, V., et al. 1987. Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N. Engl. J. Med. 316:701–706
Vincente, J., Salvador, J., Chechile, G. 1989. Spiral urethral prosthesis as an alternative to surgery in high risk patients with BPH. J. Urol. 142: 1504–1506
Williams, G., Jager, R., McLoughlin, L., et al. 1989. Use of stents for treating obstruction of urinary outflow in patients unfit for surgery. Br. Med. J. 298:1429
Rights and permissions
Copyright information
© 1994 Springer-Verlag London Limited
About this chapter
Cite this chapter
Milroy, E.J.G. (1994). Prostate Stents. In: Prostatic Obstruction. Springer, London. https://doi.org/10.1007/978-1-4471-1866-4_9
Download citation
DOI: https://doi.org/10.1007/978-1-4471-1866-4_9
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1868-8
Online ISBN: 978-1-4471-1866-4
eBook Packages: Springer Book Archive