PROSTATIC UROLUME WALLSTENT FOR URINARY RETENTION DUE TO ADVANCED PROSTATE-CANCER - A 1-YEAR FOLLOW-UP-STUDY

We attempt to clarify the long-term clinical reliability of the prosta tic UroLume Wallstent in the treatment of urinary retention due to ad vanced prostate cancer. The stent was placed in 11 stage D prostate ca ncer patients at high surgical risk and with urinary retention unrelie ved by total androgen blockade. At preoperative urethroscopy, the blad der neck and verumontanum were clearly visible and not massively infil trated by tumor. All patients voided spontaneously at the end of the p rocedure. At 1 year maximum flow nomograms demonstrated the definite r elief of bladder outlet obstruction and of related symptoms in the 10 cases evaluated. As expected, the stent had no evident effect on the n atural history of prostate cancer. There were no major complications. Bladder outlet obstruction due to advanced prostate cancer and unrelie ved by conventional medical therapy can be treated safely and effectiv ely by the prostatic UroLume Wallstent.