Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasia
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,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2014-12-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X14001545 |
| _version_ | 1811285357245759488 |
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| author | Elwagdy Salah Ismail Hassan Ramadan Reda Algebally Ahmed Aboul-Fotouh Ahmed A-Hassan Gamal |
| author_facet | Elwagdy Salah Ismail Hassan Ramadan Reda Algebally Ahmed Aboul-Fotouh Ahmed A-Hassan Gamal |
| author_sort | Elwagdy Salah |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T02:43:59Z |
| format | Article |
| id | doaj.art-54591d691deb46d7932964434d1b4c42 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-04-13T02:43:59Z |
| publishDate | 2014-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-54591d691deb46d7932964434d1b4c422022-12-22T03:06:07ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2014-12-014541285129010.1016/j.ejrnm.2014.07.008Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasiaElwagdy Salah0Ismail Hassan1Ramadan Reda2Algebally Ahmed3Aboul-Fotouh Ahmed4A-Hassan Gamal5Azhar University, Radiology Department, Cairo, EgyptAzhar University, Cairo, EgyptAzhar University, Cairo, EgyptZagazig University, Zagazig, EgyptAzhar University, Cairo, EgyptAzhar University, Cairo, EgyptBackground: 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.http://www.sciencedirect.com/science/article/pii/S0378603X14001545BPHDouble balloonUrethral dilationProstatic urethra |
| spellingShingle | Elwagdy Salah Ismail Hassan Ramadan Reda Algebally Ahmed Aboul-Fotouh Ahmed A-Hassan Gamal Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasia The Egyptian Journal of Radiology and Nuclear Medicine BPH Double balloon Urethral dilation Prostatic urethra |
| title | Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasia |
| title_full | Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasia |
| title_fullStr | Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasia |
| title_full_unstemmed | Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasia |
| title_short | Transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter-dependent patients with benign prostatic hyperplasia |
| title_sort | transrectal elastographic monitoring of the transurethral balloon pressure in urethral dilation for catheter dependent patients with benign prostatic hyperplasia |
| topic | BPH Double balloon Urethral dilation Prostatic urethra |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X14001545 |
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