Presentation on theme: "DANYLO HALYTTSKY LVIV NATIONAL UNIVERSITY (UKRAINE) - 1 UROLOGIC DEPARTMENT OF WROCLAW REGIONAL HOSPITAL (POLAND) - 2 The Term of Expendient Use of Permanent."— Presentation transcript:
DANYLO HALYTTSKY LVIV NATIONAL UNIVERSITY (UKRAINE) - 1 UROLOGIC DEPARTMENT OF WROCLAW REGIONAL HOSPITAL (POLAND) - 2 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. Pasichnyk 1, A. Shulyak 1, R. Sheremeta 1, A.Zuravchak 1, D.Repko 1, J. Sokolowski 2, P. Forszt 2.
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 urinationVolume of prostate (c/c) PSA level ng/ml Infections of u/t (%)
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.