PROSTATIC SPIRAL VERSUS PROSTATIC UROLUME WALLSTENT FOR URINARY RETENTION DUE TO BENIGN PROSTATIC HYPERPLASIA - A LONG-TERM COMPARATIVE-STUDY

Thirty-eight high-risk surgical patients with urinary retention due to benign prostatic hyperplasia (BPH) were treated by placement of a pro static spiral under local anesthesia (group 1: 20 patients) or a prost atic stent under intravenous sedation (group 2: 18 patients). At the 1 -year follow-up, mean peak flow rate, residual urine volume and subjec tive symptoms scale were significantly better in the stent group (p < 0.01). The rate of postoperative urinary incontinence and dislocation of the device was greater in the spiral group. Cystoscopic manipulatio n and removal of the device were definitely easier with the spiral. Bo th the prostatic spiral and stent have specific roles in the treatment of urinary retention in the unfit BPH patient. The selection of the m ost suitable device depends on accurate patient assessment.