Transcript Angiomyolipoma of kidney

The Term of Expendient Use of Permanent Urethral
Catheter in Patients with Prostate Cancer Having Acute
Urinary Retention
DANYLO HALYTTSKY LVIV NATIONAL UNIVERSITY (UKRAINE) - 1
UROLOGIC DEPARTMENT OF WROCLAW REGIONAL HOSPITAL (POLAND) - 2
S. Pasichnyk1, A. Shulyak1, R. Sheremeta1,
A. Zuravchak1, D.Repko1, J. Sokolowski2,
P. Forszt2.
Material & methods:
The total number of the patients: 701
Period of the study: From 2001 till 2006 years.
The average age of patients was: 66, 84 + 4, 48 years of life. The average
volume of prostate before treatment was: 66, 84 + 7, 3 c/c.
All the patients had MAB.
The criteria of effectiveness: 1) Renewal of urination act; 2) Number of
infection complications caused by catheterization; 3) PSA level;
4) Volume of the prostate, c/c.
Objectives:
Defining the most reasonable duration of the continues bladder cathetersation
Results:
Out of 701 patients 603 (86 %) – had independent urination act completely renewed over the
period of 6 months after Foley catheter removal. The fact that needs attention is that during the
first 1,5 months after the beginning of MAB the highest percentage of patients 476 (79%)
Independent urination
Volume of prostate (c/c)
476
500
80
400
60
300
70
70
61
58
3
6
40
200
66
100
36
24
3
6
0
20
0
1,5
2
PSA level ng/ml
1,5
2
Infections of u/t (%)
9,2
10
15
7,1
8
11
4,9
6
4,7
4
10
5
8
4
5
1,5
2
2
0
0
1,5
2
3
6
3
6
Conclusion:
Thus, the use of permanent catheter of the Foley type with 701 patients
having PC with AUR for a period of 6-8 weeks from the beginning of
MAB proved to be a quite effective and safe conservative method of
treatment of infravesical obstruction caused by PC with 603 patients
(86 %). The use of permanent Foley catheter for a period longer than
2 - 3 months is not expedient due to the occurrence of a number of
complications and rather insignificant percentage of infravesical
obstruction removal. Besides, limited number of patients, 98 patient
(14%) need surgical methods of correction of the above-cited
pathologic state and, in number of cases, correction is aimed at the
removal of sever dysuria (TURP and its methods), which is confirmed
by the results of our study.