Minimal invasive management for the relief of LUTS (lower urinary tract symptoms) or Urinary Retention caused by a Urethral Stricture
Why is it done?
- This procedure is performed when concentric scarring in the urethra causes LUTS and /or Urinary Retention
- 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.
- Patients who don’t want to / cannot do intermittent self-dilatation of these strictures
- Don’t want a permanent Indwelling Catheter
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 urethral are taken (length)
- Appropriate length coil is chosen.
- The device is placed through the cystoscopic sheath, to sit snug in the prostate urethra stretching over the length of the stricture
- Prophylactic antibiotics will be given to prevent any infections.
- Persistent pain in penile shaft
- Pain in Perineum when seated
- Migration of the device
- Erosion of device
- Possible infection
- Long term yields the risk for encrustation and recurrent infections
- NB! Each person is unique and for this reason, symptoms vary!
Copyright 2019 Dr Jo Schoeman