Implantation Of Biodegradable Stent May Predict TURP-Related Incontinence

Surgical stent implantation into the prostatic urethra may help predict the risk of incontinence

following transurethral resection of the prostate gland (TURP) in high risk patients.

 Incontinence remains an significant complication of TURP, particularly among men who have severe bladder outlet obstruction (BOO) and severe overactive bladder (OB) prior to surgery.

To examine the risk of developing incontinence following TURP, Dr. Thomas Knutson and colleagues from the department of urology, Sahlgrenska University Hospital, Götenborg, Sweden, recruited 37 patients with severe OB combined with moderate to severe BOO who were candidates for TURP.

 In these patients, they simulated the effects of TURP by inserting a polyglycolic biodegradable stent into the prostatic urethra via cystoscope-guided surgery. Among the 37 patients who underwent stent implantation, 25 noticed no or only minor urinary leakage following the surgery. Nineteen of these patients eventually underwent TURP, all with good results. An additional three patients are currently on a waiting list for TURP.

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