医学
支架
外科
膀胱出口梗阻
再狭窄
内科学
前列腺
癌症
作者
Samuel J.S. Grimsley,Mohammed Hidayath Khan,Elspeth Lennox,Peter Paterson
出处
期刊:Journal of Endourology
[Mary Ann Liebert]
日期:2007-09-01
卷期号:21 (9): 1093-1096
被引量:16
标识
DOI:10.1089/end.2006.0254
摘要
Background: Prostatic stents offer a third clinical option for patients with bladder-outlet obstruction who are unfit for surgical relief and wish to avoid long-term catheterization. We report our experience with the Abbey-Moor Spanner™ temporary prostatic stent in patients with acute and chronic symptoms of bladder-outlet obstruction secondary to benign or malignant disease who were unfit for surgery because of age or cardiorespiratory disease. Patients and Methods: A series of 43 consecutive patients stented March 2004 through November 2005 were reviewed retrospectively. Stents were removed and replaced every 3 months if tolerated. Results: More than half of the patients (63%) had an unsatisfactory outcome, namely, immediate or delayed retention or elective removal because of unbearable symptoms. The remaining 37% of patients had a satisfactory outcome and either continue to have the stent in situ after a mean of five changes or are stent free after a successful voiding trial. Conclusion: Only 21% of the patients in whom stenting was indicated continued to have a stent in situ at the end of the study. We suggest that in such patients, a temporary stent such as the AbbeyMoor Spanner should be used for only 3 months as a trial of stenting followed by a trial of stent-free voiding, with the patient converted to permanent prostatic stenting if voiding is unsuccessful.
科研通智能强力驱动
Strongly Powered by AbleSci AI