Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasia
| Autor: | Ismail Hassan, Ramadan Reda, Aboul-Fotouh Ahmed, Elwagdy Salah, A-Hassan Gamal, Algebally Ahmed |
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| Rok vydání: | 2014 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty Foley business.industry lcsh:R895-920 Urology Hyperplasia urologic and male genital diseases medicine.disease Balloon Prostatic urethra Catheter medicine.anatomical_structure Radiology Nuclear Medicine and imaging BPH Indwelling catheter Balloon dilation medicine Radiology Nuclear Medicine and imaging Urethral dilation Urinary tract obstruction business Double balloon |
| Zdroj: | The Egyptian Journal of Radiology and Nuclear Medicine, Vol 45, Iss 4, Pp 1285-1290 (2014) |
| ISSN: | 0378-603X |
| DOI: | 10.1016/j.ejrnm.2014.07.008 |
| Popis: | Background Foley’s catheter indwelling gives temporary relief for lower urinary tract obstruction, especially in case of severely symptomatizing benign prostatic hyperplasia (BPH). Several complications of long-term or frequent catheter indwelling have been reported in catheter dependent patients, specifically to those who are unfit for operative intervention. Objectives Our aim was to find a safe, non-invasive relief from symptom severity, as well as, incapacitating complications of Foley’s catheter in catheter-dependent patients. Methods A total of 107 catheter-dependent men, or who had frequent Foley’s catheter indwelling in case of BPH, participated in the present study. Preliminary estimation of the post-micturition residual urine was obtained. Ultrasound elastography was used to assess the transurethral balloon pressure of the double balloon silicon-coated catheter, adjudicated by ureteromat, and maintained in situ for 6 days in all patients. Basic follow up once-a-month has been performed up to 6 months. Results Effectual urethral patency was noted in 89.7% patients at the end of the third month. The procedure was repeated for 11 patients shortly after 3 months, for 7 patients after 4 months and for 28 patients after 5 months, with no reported prostatic urethral injury. No stricture recurrence was noted in 61 patients up to 6 months. Conclusions Preliminary results indicate that prostatic urethral balloon dilation in BPH catheter-dependent patients is inexpensive, safe, and would be a potentially effective option in maintaining the prostatic urethral patency. Elastographic justification of the transurethral balloon has proved to be helpful. |
| Databáze: | OpenAIRE |
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