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• W2942306775 abstract "You have accessJournal of UrologyProstate Cancer: Advanced (including Drug Therapy) III (PD25)1 Apr 2019PD25-02 CONSIDERATION OF PROPER CANDIDATES FOR SELF-EXPANDABLE COVERED METALLIC STENTS IN PROSTATIC OBSTRUCTION COMPARING PROSTATE CANCER AND BENIGN DISEASE CASES Se Young Choi, Bumjin Lim, Jae Hyeon Han, Yoon Soo Kyung, Dong Hyeon An, Hwiwoo Kim, Wonchul Lee*, Han Kyu Chae, Jaehoon Lee, Wonseok Choi, Dalsan You, In Gab Jeong, and Choung-Soo Kim Se Young ChoiSe Young Choi More articles by this author , Bumjin LimBumjin Lim More articles by this author , Jae Hyeon HanJae Hyeon Han More articles by this author , Yoon Soo KyungYoon Soo Kyung More articles by this author , Dong Hyeon AnDong Hyeon An More articles by this author , Hwiwoo KimHwiwoo Kim More articles by this author , Wonchul Lee*Wonchul Lee* More articles by this author , Han Kyu ChaeHan Kyu Chae More articles by this author , Jaehoon LeeJaehoon Lee More articles by this author , Wonseok ChoiWonseok Choi More articles by this author , Dalsan YouDalsan You More articles by this author , In Gab JeongIn Gab Jeong More articles by this author , and Choung-Soo KimChoung-Soo Kim More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000555957.37135.74AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: We evaluated the efficacy of self-expandable covered metallic stent in prostatic urethra comparing benign prostatic disease and prostate cancer (PC). METHODS: We reviewed 42 cases of self-expandable covered metallic stents with barbs. The cohort was divided into two groups of non-PC and PC. Variables of uroflowmetry, residual urine volume, and International Prostate Symptoms Score (IPSS) with quality of life (QOL) and duration from the insertion to removal were surveyed. Logistic regression analysis was used to predict the early stent removal within 3 months. RESULTS: PC group showed similar baseline characteristics such as age, body mass index, and prostate volume to non-PC group. Average flow rate (4.9ml/sec vs 2.0ml/sec, p=0.044), peak flow rate (6.3ml/sec vs 11.8ml/sec, p=0.010), flow time (25.9sec vs 49.3sec, p=0.018), residual urine (34ml vs 124ml, p=0.019), IPSS (10 vs 26, p<0.001), and QOL (2 vs 5, p<0.001) were improved after the stent insertion comparing before the insertion, respectively. There was no difference in median time to stent removal between non-PC and PC (6.0 months vs 5.7 months, p=0.627). In analysis for predicting early stent removal within 3 months, there was no significant factor in past medical history, prostate volume, PC, or stent size. CONCLUSIONS: This stent was maintained during about 6 months with improved objective and subjective outcomes. PC group showed comparable maintenance period to non-PC group. Short life expectancy, unable general anesthesia, prior radiation therapy and failure to previous operation against prostatic obstruction can be the proper candidates for the stent insertion. Source of Funding: none Seoul, Korea, Republic of© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e468-e469 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Se Young Choi More articles by this author Bumjin Lim More articles by this author Jae Hyeon Han More articles by this author Yoon Soo Kyung More articles by this author Dong Hyeon An More articles by this author Hwiwoo Kim More articles by this author Wonchul Lee* More articles by this author Han Kyu Chae More articles by this author Jaehoon Lee More articles by this author Wonseok Choi More articles by this author Dalsan You More articles by this author In Gab Jeong More articles by this author Choung-Soo Kim More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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