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Critical appraisal of the Spanner™ prostatic stent in the treatment of prostatic obstruction

The Spanner™ stent was first used in patients to relieve bladder outlet obstruction (BOO), and has recently been used in patients following transurethral microwave thermotherapy and men unfit for surgical intervention. We review the current literature on the role of the Spanner stent in treating pro...

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Autores principales: McKenzie, Patrick, Badlani, Gopal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417871/
https://www.ncbi.nlm.nih.gov/pubmed/22915927
http://dx.doi.org/10.2147/MDER.S7107
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author McKenzie, Patrick
Badlani, Gopal
author_facet McKenzie, Patrick
Badlani, Gopal
author_sort McKenzie, Patrick
collection PubMed
description The Spanner™ stent was first used in patients to relieve bladder outlet obstruction (BOO), and has recently been used in patients following transurethral microwave thermotherapy and men unfit for surgical intervention. We review the current literature on the role of the Spanner stent in treating prostatic obstruction compared to previously reported cases involving the use of temporary stents. The Spanner stent has been found to be successful in treating patients with bladder outlet obstruction from benign prostatic hyperplasia and following high-energy transurethral microwave thermotherapy (TUMT). Patients with the Spanner stent had an increase in peak flow rate and a decrease in post void residual and International Prostate Symptom Scores. In patients treated with TUMT, quality of life measures indicate that the Spanner stent shows increased ease of bladder drainage, decreased leakage, and no adverse effect on daily activities. In patients unfit for surgery, however, there was increased retention and pain requiring stent removal in 63% of cases. The Spanner stent offers ease of insertion with a decrease in voiding symptoms in selected patients. Based on limited data, the Spanner stent has been recommended as a treatment option for men with BOO following TUMT. However, it is not a good treatment option for men unfit for surgery based on an increased incidence of urinary retention and dysuria. The Spanner stent is the only currently approved temporary stent and, based on a literature review, it does not offer significant advantage over previously used temporary stents. It is notable that most researchers have not evaluated the role of detrusor function on the outcomes.
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spelling pubmed-34178712012-08-22 Critical appraisal of the Spanner™ prostatic stent in the treatment of prostatic obstruction McKenzie, Patrick Badlani, Gopal Med Devices (Auckl) Review The Spanner™ stent was first used in patients to relieve bladder outlet obstruction (BOO), and has recently been used in patients following transurethral microwave thermotherapy and men unfit for surgical intervention. We review the current literature on the role of the Spanner stent in treating prostatic obstruction compared to previously reported cases involving the use of temporary stents. The Spanner stent has been found to be successful in treating patients with bladder outlet obstruction from benign prostatic hyperplasia and following high-energy transurethral microwave thermotherapy (TUMT). Patients with the Spanner stent had an increase in peak flow rate and a decrease in post void residual and International Prostate Symptom Scores. In patients treated with TUMT, quality of life measures indicate that the Spanner stent shows increased ease of bladder drainage, decreased leakage, and no adverse effect on daily activities. In patients unfit for surgery, however, there was increased retention and pain requiring stent removal in 63% of cases. The Spanner stent offers ease of insertion with a decrease in voiding symptoms in selected patients. Based on limited data, the Spanner stent has been recommended as a treatment option for men with BOO following TUMT. However, it is not a good treatment option for men unfit for surgery based on an increased incidence of urinary retention and dysuria. The Spanner stent is the only currently approved temporary stent and, based on a literature review, it does not offer significant advantage over previously used temporary stents. It is notable that most researchers have not evaluated the role of detrusor function on the outcomes. Dove Medical Press 2011-02-09 /pmc/articles/PMC3417871/ /pubmed/22915927 http://dx.doi.org/10.2147/MDER.S7107 Text en © 2011 McKenzie and Badlani, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Review
McKenzie, Patrick
Badlani, Gopal
Critical appraisal of the Spanner™ prostatic stent in the treatment of prostatic obstruction
title Critical appraisal of the Spanner™ prostatic stent in the treatment of prostatic obstruction
title_full Critical appraisal of the Spanner™ prostatic stent in the treatment of prostatic obstruction
title_fullStr Critical appraisal of the Spanner™ prostatic stent in the treatment of prostatic obstruction
title_full_unstemmed Critical appraisal of the Spanner™ prostatic stent in the treatment of prostatic obstruction
title_short Critical appraisal of the Spanner™ prostatic stent in the treatment of prostatic obstruction
title_sort critical appraisal of the spanner™ prostatic stent in the treatment of prostatic obstruction
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417871/
https://www.ncbi.nlm.nih.gov/pubmed/22915927
http://dx.doi.org/10.2147/MDER.S7107
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