European urology focus · 2026
Minimally Invasive Surgical Therapies in Patients with Catheter-Dependent Urinary Retention: A Collaborative Mini-review.
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Scilipoti Pietro, Chicaud Marie, Abdallah Mikael Abi, Wirtzfeld Nathan, Moretto Stefano, Kutchukian Stessy, Doizi Steeve
Аннотация
CONTEXT: Catheter-dependent urinary retention is a severe manifestation of benign prostatic obstruction, frequently affecting older and comorbid patients not eligible for standard surgery. Minimally invasive surgical therapies (MISTs) may be alternative options, although catheter-dependent men are often excluded from pivotal trials.
OBJECTIVE: A structured review of studies reporting outcomes of MISTs in this population was performed.
EVIDENCE ACQUISITION: Twenty-four studies including 1137 patients were identified, mostly retrospective, single-arm, and monocentric.
EVIDENCE SYNTHESIS: Duration of preoperative catheter dependence varied widely (2-47 wks). Across MIST modalities, catheter-free rates (CFR) ranged from 66% to 100%.
CONCLUSIONS: Prostatic artery embolization and water vapor thermal therapy (Rezūm) were the most frequently evaluated treatments, with CFR of 66-95.2% and 68-100%, respectively, and reintervention rates generally below 15%.
PATIENT SUMMARY: Major complications were uncommon. Overall, MISTs can achieve high CFR with low major morbidity in selected patients, but evidence remains heterogeneous, highlighting the need for standardized outcomes and comparative studies.
OBJECTIVE: A structured review of studies reporting outcomes of MISTs in this population was performed.
EVIDENCE ACQUISITION: Twenty-four studies including 1137 patients were identified, mostly retrospective, single-arm, and monocentric.
EVIDENCE SYNTHESIS: Duration of preoperative catheter dependence varied widely (2-47 wks). Across MIST modalities, catheter-free rates (CFR) ranged from 66% to 100%.
CONCLUSIONS: Prostatic artery embolization and water vapor thermal therapy (Rezūm) were the most frequently evaluated treatments, with CFR of 66-95.2% and 68-100%, respectively, and reintervention rates generally below 15%.
PATIENT SUMMARY: Major complications were uncommon. Overall, MISTs can achieve high CFR with low major morbidity in selected patients, but evidence remains heterogeneous, highlighting the need for standardized outcomes and comparative studies.