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

Why is it done?

  • 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


How is it done?

  • 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!


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Copyright 2019 Dr Jo Schoeman