Intraurethral Catheter for Urinary Retention in BPH
Author Information
Author(s): Sulabha Punekar, Prem A. Ramkrishnan, Anand R. Kelkar, Jaydeep A. Date, Vasudeo R. Ridhorkar
Primary Institution: Seth G.S. Medical College and K.E.M. Hospital
Hypothesis
Can an intraurethral catheter (IUC) effectively manage urinary retention in patients with benign prostatic hypertrophy who are unfit for surgery or awaiting surgery?
Conclusion
The intraurethral catheter is a viable alternative to indwelling urethral catheters for managing urinary retention in patients with benign prostatic hypertrophy.
Supporting Evidence
- 93% of patients resumed spontaneous voiding after the procedure.
- At 6 months, satisfactory peak flow rates and low residual volumes were maintained.
- Immediate complications included incontinence in 2 patients and hematuria in 1 patient.
- Long-term complications included mild encrustation in 2 patients and calculus formation in 1 patient.
- None of the patients developed clinically significant urinary tract infections.
Takeaway
Doctors used a special tube to help men who couldn't pee because of prostate problems, and most of them were able to pee normally again.
Methodology
The study involved inserting a polyurethane intraurethral catheter in 27 patients under fluoroscopic control and assessing their urinary flow and complications over 6 months.
Limitations
Five patients were lost to follow-up, and the study did not include a control group for comparison.
Participant Demographics
Patients were men with benign prostatic hypertrophy, some at high risk for surgery or with long waiting periods for surgery.
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