Intraurethral Catheter: Alternative Management for Urinary Retention in Patients With Benign Prostatic Hypertrophy

Sulabha Punekar,Jaydeep A Date,Prem A Ramkrishnan,Vasudeo R Ridhorkar,Anand R Kelkar

doi:10.1155/dte.2.113

Abstract

A polyurethane intraurethral catheter (IUC) was used in 27 patients with benign prostatic hypertrophy who were unfit for surgery, or were awaiting surgery. All of them had previously had a periurethral catheter inserted. The IUC was inserted with a cystoscope under fluoroscopic control. Spontaneous voiding through the IUC resumed in 25 patients (93%) in the immediate postprocedure period. At the end of 6 months follow-up, the peak flow rates and the residual volumes estimated in 22 patients were satisfactory. Immediate complications included incontinence due to distal displacement in 2 patients and hematuria in one patient; long-term complications included mild encrustation of the IUC in 2 patients and calculus formation on the IUC in 1 patient. None of the patients had clinically significant urinary tract infection. The presence of the IUC did not compromise the subsequent transurethral resection of the prostate gland. We recommend the use of an IUC for up to 6 months in patients with urinary retention who are awaiting surgery or are unfit for surgery as an alternative to an indwelling urethral catheter.

Highlights

A polyurethane intraurethral catheter (IUC) was used in 27 patients with benign prostatic hypertrophy who were unfit for surgery, or were awaiting surgery
Retention of urine is one of the common clinical presen- tients in whom urinary retention caused by BPH was tations of benign prostatic hypertrophy (BPH)
Patient had a previous undetected small vesical calculus, which was removed before the IUC was implanted

Summary

Introduction

A polyurethane intraurethral catheter (IUC) was used in 27 patients with benign prostatic hypertrophy who were unfit for surgery, or were awaiting surgery. Spontaneous voiding through the IUC resumed in 25 patients (93%) in the immediate postprocedure period. We recommend the use of an IUC for up to 6 months in patients with urinary retention who are awaiting surgery or are unfit for surgery as an alternative to an indwelling urethral catheter. Retention of urine is one of the common clinical presen- tients in whom urinary retention caused by BPH was tations of benign prostatic hypertrophy (BPH). Decades this was managed with an indwelling urethral catheter. In many instances the indwelling urethral catheter has to be left in place for an extended period of MATERIALS AND METHODS.

Results

Discussion

Conclusion