Ninety-four patients with benign prostatic hyperplasia who had anesthe
tic contraindications to surgery were treated by insertion of 130 intr
aurethral catheters (IUC). Of the 130 IUCs inserted, 80.8% were succes
sful and in 19.2% the IUC had to be removed earlier than intended: imp
roper placement, displacement of the stent and residual urine were the
main reasons for failure. All patients with a successfully inserted I
UC were continent. Fifty-three IUCs were left for 1-6 months and 52 st
ents remained in place for over 6 up to 19 months. Bacteriuria was fou
nd in 13% of the patients with IUCs, but only 2.4% of the patients had
clinical urinary tract infection. The IUC may be used as an alternati
ve to surgery in high risk patients and as an alternative to an indwel
ling catheter.