133: 5-year experience with the Memokath endoprostatic stent

Chu, T. Y.; Kwok, S. C.; Cheng, C. H.; Chu, S. K.; Yiu, M. K.
November 2008
Indian Journal of Urology;Supplement2, Vol. 24, pS94
Academic Journal
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.


Related Articles

  • Length of hospital stay determines 'usual time.'. Painter, Ray; Painter, Mark // RN;Dec2006, Vol. 69 Issue 12, Special section p1 

    The article presents questions and answers related to urology. A reader asks what is considered the usual postoperative bleeding time following transurethral resection of the prostate. Another one asks on the proper code for a flexible nephroscopy with electrohydraulic lithotripsy and insertion...

  • Research supports early cath removal after TURP. Begany, Timothy // RN;Nov95, Vol. 58 Issue 11, p15 

    Presents a summary of a study on the benefits of early urinary catheter removal following transurethral resection of the prostate (TURP) in Australia. Effects to the length of patient's hospital stay.

  • Anesthetic implications of urology surgery. Cherian, V. T. // Indian Journal of Urology;Jul-Sep2006, Vol. 22 Issue 3, p194 

    Anesthesia for urology surgery poses special problems by way of patient factors and complexity of the procedure. Preoperative optimization of the patients with renal dysfunction and comorbidity; specific complications associated with the operative procedures, such as transurethral resection of...

  • A technique for catheter placement after transurethral resection of the prostate complicated with undermining of the trigone of the bladder. Szewczyk, Wojciech; Prajsner, Andrzej // Central European Journal of Urology;Jun2011, Vol. 64 Issue 2, p100 

    Authors presented 17 patients in whom two techniques for catheterization of the bladder after transurethral resection of the prostate complicated with undermining of the trigone of the bladder were applied. The first maneuver, used in twelve patients, was the insertion of a rigid stylet made...

  • OUTCOMES OF TRANSURETHRAL AND SUPRAPUBIC URINARY DIVERSION FOLLOWING HYPOSPADIAS REPAIR IN CHILDREN. Osifo, Osarumwense David; Azeez, Abiodun Luqman // Pakistan Journal of Medical Sciences;Apr2010, Vol. 26 Issue 2, p329 

    Objective: To determine the outcomes and efficacy of transurethral urinary diversion/stenting with size six feeding tube and that of suprapubic cystostomy after hypospadias repair in children. Methodology: An 8-year prospective experience at the University of Benin Teaching Hospital on the...

  • A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique. Kyung Jin Oh; Yoo-Duk Choi; Ho Suck Chung; Eu Chang Hwang; Seung Il Jung; Dong Deuk Kwon; Park, Kwangsung; Taek Won Kang // Korean Journal of Urology;Mar2015, Vol. 56 Issue 3, p227 

    Purpose: Transurethral resection of bladder tumor (TURBT) can be a challenging procedure for an inexperienced surgeon. We suggest an easy technique for TURBT, which we have named the "grasp and bite" technique. We describe this technique and compare its effectiveness and safety with that of...

  • Placement of retrievable self-expandable metallic stents with barbs into patients with obstructive prostate cancer. Song, Ho-Young; Kim, Choung; Jeong, In; Yoo, Dalsan; Kim, Jin; Nam, Deok; Bae, Jae-Ik; Park, Jung-Hoon // European Radiology;Mar2013, Vol. 23 Issue 3, p780 

    Objectives: To evaluate the technical feasibility and clinical effectiveness of retrievable self-expandable metallic stents with barbs in patients with obstructive prostate cancer. Methods: Retrievable self-expandable metallic stents with eight barbs each were inserted into eight consecutive...

  • Prostate stents as ultima ratio in unfit patients. Reichle, J.; Turk, S.; Chinegwundoh, F.; Buchholz, N. // Indian Journal of Urology;Jan-Mar2006, Vol. 22 Issue 1, p68 

    Prostate stents have widely been abandoned. Indeed, to date there are many minimally invasive treatment options which can benefit even patients who are medically unfit to undergo transurethral resection of the prostate (TURP). We present three cases that illustrate that, in spite of all those...

  • Ins and Outs of Suprapubic Catheters -- A Clinician's Experience. Bullman, Susan // Urologic Nursing;Sep/Oct2011, Vol. 31 Issue 5, p259 

    In today's evolving health care field, outpatient procedures are becoming more commonplace. Many patients with suprapubic catheters are now being seen in outpatient or home care settings. Addressing the educational needs of patients, family members, and nursing staff is now more important than...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics