Prostatic Stent - Dr. Jo Schoeman

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Minimal invasive management for the relief of LUTS (lower urinary tract symptoms) or Urinary Retention

This procedure is performed when the prostate gland is causing LUTS and you want an alternative to long anaesthetic procedures
Symptoms include: a weak stream, nightly urination, frequent urination, inability to urinate, (LUTS) and Urinary Retention
This is alternative to an invasive procedure where long periods of anaesthetic is contraindicated.
Usually for chronically sick patients who cannot undergo surgery, yet are active enough not to want a permanent catheter.
Usually, a trial of alpha-blockers would be attempted and Step-up Therapy with 5 Alpha Reductase Inhibitors have been unsuccessful
Any prostate size

Patients will receive sedation with local anaesthetic gel placed in the urethra.
A cystoscopy is performed by placing a camera in the urethra with the help of a lubricant jelly and an irrigant fluid.
The measurements of the prostatic urethra are taken (length)
Appropriate length coil is chosen.
The device is placed through the cystoscopic sheath, to sit snug in the prostate urethra stretching from the bladder neck to the apex of the prostate
Prophylactic antibiotics will be given to prevent any infections.

Retrograde Ejaculation
Possibility of Infertility due to retrograde ejaculation,
Stress incontinence especially in the elderly and diabetic patients
Urgency and urge Incontinence especially until Detrusor Hyperactivity dissipates
Urge symptoms may persist due to detrusor fibrosis caused by long term bladder outlet obstruction
May experience a slower stream initially due to swelling
Possible infection due to cystoscopy (<2%)
Migration of the device into the bladder, requiring a procedure to retrieve this.
Long term yields the risk for encrustation and recurrent infections
NB! Each person is unique and for this reason, symptoms vary!