TITLE

133: 5-year experience with the Memokath endoprostatic stent

AUTHOR(S)
Chu, T. Y.; Kwok, S. C.; Cheng, C. H.; Chu, S. K.; Yiu, M. K.
PUB. DATE
November 2008
SOURCE
Indian Journal of Urology;Supplement2, Vol. 24, pS94
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Introduction: We presented here our experience on endoprostatic stent (Memokath) insertion in a local urology centre. Methods: Elderly patients, who failed to wean off urinary catheter, and had co-morbidities which rendered them high risk for operation (TURP), were selected since 2003. Total 26 patients were initially planned to have stents insertion, in which only 21 patients had their stents successfully inserted and were followed up. Indications, techniques of endoprostatic stent insertion and outcomes were studied. Morbidities associated with the procedure were reviewed and length of stent survival was estimated. Results: The insertion of endoprostatic stent is a minimally invasive procedure and normally undertaken as an out-patient procedure under local urethral anesthesia. The whole procedure usually takes around 20 minutes. It is simple and the outcome is immediate. 81% of patients were rendered urinary catheter-free during follow-up. Complications were minor, with no mortality and minimal morbidities. The mean length of stent survival was 33.5 months. 38% of patients were finally died with the stent in-situ. Conclusions: The endoprostatic stent can be used as a safe alternative for selected patients with severe co-morbidities and high surgical risk, to let them remained catheter-free for the rest of their lives.
ACCESSION #
34880928

 

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