Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1112
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dc.contributorSethi, Kapilen_US
dc.contributorBozin, Michaelen_US
dc.contributorJabane, Tebogoen_US
dc.contributorMcMullin, Richarden_US
dc.contributorCook, Daviden_US
dc.contributorForsyth, Roben_US
dc.contributorDodds, Lachlanen_US
dc.contributorJohns-Putra, Lydiaen_US
dc.date.accessioned2018-02-09T06:05:17Z-
dc.date.available2018-02-09T06:05:17Z-
dc.date.issued2017-
dc.identifier.govdoc01108en_US
dc.identifier.issn2466-0493en_US
dc.identifier.urihttp://hdl.handle.net/11054/1112-
dc.description.abstractPurpose: To report our outcomes with the use of a thermo-expandable metallic intraprostatic stent (Memokath) for patients with bladder outlet obstruction (BOO) secondary to prostatic obstruction, and to assess it is a feasible option for many frail and elderly men unsuitable for surgery. We reviewed patients who underwent insertion of a Memokath stent for BOO over 17 years (January 1999 to December 2015) at one regional center over a long follow-up period (median, 7 years). Patients were selected if they had obstructive urinary symptoms or urinary retention with an indwelling catheter in situ, and were ineligible for transurethral resection of the prostate (TURP) under general or spinal anesthesia. Primary outcomes assessed were the improvement in urinary symptoms and voiding parameters, as well as the ability to void spontaneously if catheterized, along with complications. One hundred forty-four patients who presented with BOO or urinary retention had a Memokath stent inserted. Ninety patients (62.5%) had a successful stent insertion with a significant difference between the median preoperative (550 mL) and postoperative residual volume (80 mL, p<0.0001). Nearly two-thirds of men (64%) returned to unassisted voiding with no increased risk of complications over time. Fifty-four patients (37.5%) experienced stent failure. Main complications requiring stent removal or repositioning were migration, occlusion, refractory urinary retention and irritative voiding symptoms. In elderly and frail men with BOO deemed unsuitable to undergo TURP, prostatic stent is a safe and practical alternative to long-term catheterization.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2018-02-06T04:44:50Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2018-02-09T06:05:17Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2018-02-09T06:05:17Z (GMT). No. of bitstreams: 0 Previous issue date: 2017en
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/29124245en_US
dc.titleThermo-expandable prostatic stents for bladder outlet obstruction in the frail and elderly population: an underutilized procedure?en_US
dc.typeJournal Articleen_US
dc.type.specifiedArticleen_US
dc.bibliographicCitation.titleInvestigative and Clinical Urologyen_US
dc.bibliographicCitation.volume58en_US
dc.bibliographicCitation.issue6en_US
dc.bibliographicCitation.stpage447en_US
dc.bibliographicCitation.endpage452en_US
dc.subject.healththesaurusAGEDen_US
dc.subject.healththesaurusTRANSURETHRAL RESECTION OF PROSTATEen_US
dc.subject.healththesaurusURINARY BLADDER NECK OBSTRUCTIONen_US
dc.subject.healththesaurusPROSTATIC HYPERPLASIAen_US
dc.subject.healththesaurusURINARY RETENTIONen_US
dc.subject.healththesaurusPROSTATEen_US
dc.subject.healththesaurusCATHETERS, INDWELLINGen_US
dc.subject.healththesaurusFOLLOW-UP STUDIESen_US
dc.subject.healththesaurusURINARY CATHETERIZATIONen_US
dc.subject.healththesaurusURETHRAL OBSTRUCTIONen_US
dc.subject.healththesaurusSTENTSen_US
dc.identifier.doi10.4111/icu.2017.58.6.447en_US
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