Van Poppel H, Baert L, Aswarie H, Oyen R
Department of Urology, University Hospital, Leuven, Belgium.
Br J Urol. 1991 Dec;68(6):604-7. doi: 10.1111/j.1464-410x.1991.tb15423.x.
Thirty-six patients have been followed up after insertion of an indwelling intraurethral device for prostatic obstruction. Follow-up exceeded 1 year in some cases. The main problem was dislocation of the spiral not only in the early stages but also after several months. Endoscopic assessment of the obstruction seems important during the pre-operative investigations. The ideal indication is prostatic obstruction in patients who are unsuitable for surgery and who need relief of acute retention for a limited time only. In selected patients the prostatic spiral has a place in the treatment of obstructive prostatism.
36例患者在插入用于治疗前列腺梗阻的留置尿道装置后接受了随访。部分患者的随访时间超过了1年。主要问题是螺旋装置不仅在早期会发生移位,几个月后也会出现。术前检查时,对梗阻进行内镜评估似乎很重要。理想的适应症是不适于手术且仅在有限时间内需要缓解急性尿潴留的前列腺梗阻患者。对于部分选定的患者,前列腺螺旋装置在治疗梗阻性前列腺增生中占有一席之地。