Abstract
Interventional radiological techniques of the lower genitourinary (GU) tract are large and varied and continue to expand because of technological advances and also because budgetary restraints are being placed on our medical society. This has stimulated continuous search for alternative ways of treating disease in a more cost-effective fashion. As a result, there has been an overall decrease in morbidity and mortality, as well as postprocedural incapacity. We review the most important and newest modalities and provide some background of the processes affecting the lower GU tract.
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Watanabe H, Kato H, Kato T (1968) Diagnostic application of the ultrasonotomography to the prostate. Jpn J Urol 59:273–279
Castaneda F, Lund G, Larson BW, Limas E, Urness M, Reddy P, Wasserman N, Hulbert J, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1987) Prostatic urethra: Experimental dilation in dogs. Radiology 163:649–654
Castaneda F, Johnson S, Hulbert J, Lund G, Letorneau JG, Brazzini A, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1987) Urethroplasty with balloon catheter in prostatic hypertrophy. ASR 149:313–314
Castaneda F, Reddy P, Wasserman N, Hulbert J, Lund G, Letorneau JG, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1987) Benign prostatic hypertrophy. Retrograde transurethral dilation of the prostatic urethra in humans: Works in progress. Radiology 163:649–654
Castaneda F, Reddy P, Hulbert J, Lund G, Letorneau JG, Wasserman N, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1987) Retrograde prostatic urethroplasty with balloon catheter. Semin Intervent Radiol 4:115–121
Castaneda F, Isorna S, Hulbert J, Repa I, Maynar-Moliner M, Hunter DW, Castaneda-Zuniga WR, Amplatz K (1989) The importance of separation of prostatic lobes in relief of prostatic obstruction by balloon catheter urethroplasty: Studies in dogs and humans. AJR 153:1301–1304
Klein L, Lemming B (1989) Balloon dilation for prostatic obstruction. Long-term follow-up. Urology 33:198–201
Goldenberg L, Perez-Marrero R, Lee L, Emerson L (1990) Endoscopic balloon dilation of the prostate: Early experience. J Urol 144:83–88
Dowd J, Smith J (1990) Balloon dilation of the prostate. Urol Clin N A 17:671–677
Daughtry J, Rodan B, Bean W (1990) Balloon dilation of prostatic urethra. Urology 36:203–209
Grado G, Larson T, McKee G, Vries N (1990) Urethral dilation in prostatic malignancies for obstructive uropathy secondary to radiation-induced edema. Presented at the Radiological Society of North America, Chicago
Lopatin W, Martynik M, Hickey D, Vivas C, Hakala T (1990) Retrograde transurethral balloon dilation of prostate: Innovative management of a bacterial chronic prostatitis and prostatodinia. Urology 36:508–510
Milroy E, Chapple C, Eldin A, Wallsten H (1989) A new stent for the treatment of urethral strictures. Preliminary report. Br J Urol 63:392–396
Milroy E (in press) Self-expandable metallic prostatic urethral stents. In: Castaneda F, Smith A (eds): Therapeutic alternatives in the management of benign prostatic hyperplasia. Thieme Medical Publishers, New York
Perez-Marrero R, Emerson LE (in press) Balloon expandable titanium prostatic urethral stents. In: Castaneda F, Smith A (eds): Therapeutic alternatives in the management of benign prostatic hyperplasia. Thieme Medical Publishers, New York
Yerushalmi A (1988) Localized, non-invasive deep microwave hyperthermia for the treatment of prostatic tumors: The first 5 years. Recent Results Cancer Res 107:140–146
Mendecki J, Friedenthal E, Botstein C (1988) Microwave applicators for localized hyperthermia treatment of cancer of the prostate. Int J Radiation Oncol Biol Phys 6:1583–1588
Kaver I, Ware J, Koontz W (1989) The effect of hyperthermia on human prostatic carcinoma cell lines: Evaluation in vitro. J Urol 141:1025–1027
Lindner A, Golomb J, Siegel Y, Lev A (1987) Local hyperthermia of the prostate gland for the treatment of benign prostatic hyperplasia and urinary retention. A preliminary report. Br J Urol 60:567–571
Servadio C, Lieb Z, Lev A (1987) Diseases of the prostate treated by local microwave hyperthermia. Urology 30:97–99
Yerushalmi A, Fishelovitz Y, Singer D, Reiner J, Arielly J, Abramovici Y, Castsenelson R, Levy E, Shani A (1985) Localized deep microwave hyperthermia in the treatment of poor operative risk patients with benign prostatic hyperplasia. J Urol 133:873–876
Servadio C, Leib Z, Lev A (1986) Further observations on the use of local hyperthermia for the treatment of diseases of the prostate in man. Eur Urol 12:38–40
Astrahan MA, Sapozink MD, Cohen D, Luxton G, Kampp TD, Boyd S, Petrovich Z (1989) Microwave applicator for transurethral hyperthermia of benign prostatic hyperplasia. Int J Hyperthermia 5:283–296
Silverberg E, Lubera JA (1988) Cancer statistics 1988. Cancer 38:5–22
Thompson IM, Ernst JJ, Gangai MP, Spence CR (1984) Adenocarcinoma of the prostate: Results of routine urological screening. J Urol 132:690–692
Chodak GW, Keller P, Schoenberg HW (1986) Assessment of routine digital examination for early diagnosis of prostatic cancer. J Urol 135:299–302
Drago JR (1989) The role of new modalities in the early detection and diagnosis of prostate cancer. Cancer 39:326–336
McNeal JE, Bostwick DG, Kindrachuk RA, Redwine EA, Freiha FS, Stamey TA (1986) Patterns of progression in prostate cancer. Lancet 1:60–63.
Kaufman JJ, Schults JI (1962) Needle biopsy of the prostate: A re-evaluation. J Urol 87:164–168
Smith G, Ercole C, Hulbert J, Castaneda-Zuniga WR, Letorneau J (1989) Transrectal sonography and the seminal vesicles. J Endourol 3:219–225
Abdel-Hakim A, Bernstein J, Hassouna M, Elhilali MM (1983) Visual internal urethrotomy in management of urethral strictures. Urology 22:43–45
Attwater HL (1943) History of urethral strictures. Br J Urol 15:39–51
Helmstein K (1964) Internal urethrotomy modifications in the operative technique. Urethroscopic control for evaluation of both the primary results of operation and of long-term healing. A discussion of 68 cases. Acta Chir Scand [suppl] 340:1–80
Ravasini G (1957) Die kontrotollierte urethroskopische electrotomie fur die Behandlung von Harnrohrenstrikturen. Urologia 24:229
Sachse HI (1974) Zur Behandlung der harnrohrenstriktur: die transurethrale schlitzung unter Sicht mit sharfem Schmitt. Fortschr Med 92:5–12
Holtgrew HL, Valk WL (1964) Late results of transurethral prostatectomy. J Urol 92:51–55
May P, Pilorz H, Bauer G (1982) Complikationen Nach Operativer Behandlung der Prostatahyperplasie (des prostatadenoms). Med Welt 33:1622
Warren JW, Muncie HL, Berquist E, Hoopes J (1980) Sequelac and management of urinary infection in the patient requiring chronic catheterization. J Urol 125:1–8
Breitenbucher R (1984) Bacterial changes in the urine samples of patients with long-term indwelling catheters. Arch Intern Med 144:1585–1588
Wilksch J, Vernon-Roberts B, Garret R, Smith K (1983) The role of catheter surface morphology and extratable cytotoxic material in tissue reactions to urethral catheters. Br J Urol 55:48–52
Edwards LE, Lock R, Powell C, Jones P (1983) Postcatheterization urethral strictures. A clinical and experimental study. Br J Urol 55:53–56
Blacklock NJ (1986) Catheters and urethral strictures. Br J Urol 58:475–478
Fraser ID, Beatson NR, McGinn FP (1982) Catheters and postoperative urethral stricture. Lancet 13:622–623
Walsh A (1982) Urethral strictures after open heart surgery. Lancet 13:392
Ruutu M (1982) “Epidemic” of acute urethral stricture after open heart surgery. Lancet 11:218
McEntee G, Smith J, Neligan MC, O'Connell D (1984) Urethral strictures following cardiac surgery. Br J Urol 56:506–508
Disantis DJ, McClennan BL, Heiken JP (1986) Acquired disorder of the urethra. In: Taveras JM, Ferrucci JT (eds): Radiology diagnosis-imaging-intervention, vol. 4. JB Lippincott, Philadelphia, pp 1–5
Mohammed SH, Wirima J (1988) Balloon catheter dilatation of urethral strictures. AJR 150:327–330
Russinovican LK, Griggs W, Jander P (1980) Balloon dilatation of urethral strictures. Urol Radiol 2:33–37
Hare W, McOmish D, Nunn I (1981) Percutaneous transvesical antegrade passage of urethral strictures. Urol Radiol 3:107–112
Scales F, Katlen B, vanBreda A, Alperstein J, Abramson E, Rhame R (1985) Impassable urethral strictures: Percutaneous transvesical catheterization and ballon dilation. Radiology 157:59–61
Lieberman SF, Barry JM (1983) Direct vision internal urethrotomy for traumatic obliteration of membraneous urethra. AUA Annual Program Brochure, Las Vegas
Devine PC, Wendelken JR, Devine CJ Jr (1989) Free full thickness skin graft urethroplasty: Current technique. J Urol 121:282–285
Mebust WK (1988) Surgical management of benign prostatic obstruction. Urology 32:12–15
Hargreave TB, Stephenson TP (1977) Potency and prostatectomy. Br J Urol 49:683–688
Holtgrewe HL, Valk WL (1962) Factors influencing the mortality and morbidity of transurethral prostatectomy A study of 2,015 cases. J Urol 87:450–459
Holtgrewe HL, Valk WL (1964) Late results of transurethral prostatectomy. J Urol 92:51–55
Thomas DG (1984) Spinal cord injury. In: Mundy AR, Stephenson TP, Wein AS (eds): Urodynamics: Principles, practice and application. Churchill Livingstone, New York, pp 259–272
Fam BA, Sarkarate M, Yalla SV (1988) Spinal cord injury. In: Yalla SV, McGuire EJ, Elladawl A, Blavis JG (eds): Urology and urodynamics: Principles and practice. Macmillan, New York, pp 291–302
Bates P, Bradley WE, Glen E, Griffiths D, Melchior H, Rowan D, Sterling AM, Zinner N, Hald T (1977) Standardization of terminology of lower urinary tract function. Urology 9:237–241
Lapides J (1970) Neuromuscular vesical and ureteral dysfunction. In: Campbell MF, Harrison JH (eds): Urology, WB Saunders, Philadelphia pp 1343–1378
Barrington FJF (1914) The nervous mechanism of micturition. QJ Exp Physiol 8:33–71
Barrington FJF (1941) The component reflexes of micturition in the cat. III. Brain 64:239–243
DeGroat WC (1975) Nervous control of the urinary bladder of the cat. Brain Res 87:201–211
Andersen JT (1976) Detrusor hyperreflexia in benign infravesical obstruction. A cystometric study. J Urol 115: 532–534
Liu CN, Chambers WW (1958) Intraspinal sprouting of dorsal root axons. Arch Neurol Psychiatry 79:46–61
Dickno AC, Koff SA, Bender LF (1974) Periurethral striated muscle activity in neurogenic bladder dysfunction. J Urol 112:743–749
Gary RC, Roberts TDM, Todd JK (1959) Reflexes involving the internal urethral sphincter in the cat. J Physiol (London) 149:653–665
Kuru M (1965) Nervous control of micturition. Physiol Rev 45:426–494
Yalla SV, Rossier AB, Fam B (1976) Dyssynergic vesico urethral response during bladder rehabilitation in spinal cord injury patients: Effects of suprapubic percussion, crede method and bethanechol chloride. J Urol 115:575–579
Melement A (1972) External sphincterotomy in neurogenic bladder dysfunction. J Urol 108:554–557
Perkash I (1977) Modified approach to sphincterotomy in spinal cord injury patients: Indications, technique and results in 32 patients. Paraplegia 15:21–37
Perkash I (1984) Treatment of voiding dysfunction in spinal-cord-injured patients. In: Barrett DM, Wein AJ (eds): Surgical controversies in neuro-urology. Churchill Livingstone, New York pp 425–435
Palmaz JC, Ritcher GM, Noelge G, Schatz RA, Robinson PD, Gardiner GA, Becker GW, McLean GK, Denny DF, Lammer J, Paolini RM, Rees CR, Alvarado R, Heiss HW, Root HD, Rogers W (1988) Intraluminal stents in atherosclerotic iliac artery stenosis: Preliminary report of a multicenter study. Radiology 168:727–731
Sigwart U, Puel J, Mirkovitch V, Joffre F, Kappenberger L (1987) Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N Engl J Med 316:701–706
Rousseau H, Puel J, Joffre F, Sigwart U, Darboucher C, Imbert C, Knight C, Kropf L, Wallsten H (1987) Self-expanding endovascular prosthesis: An experimental study. Radiology 164:709–714
Coons H (1989) Self-expanding stainless steel biliary stents. Radiology 170:979–983
Irving DJ, Adam A, Dick R, Dondelinger RF, Lunderquist A, Roche A (1989) Gianturco expandable metallic biliary stents: Results of a European clinical trial. Radiology 172:321–326
Machan L, Scheline M, Wein A, Levin R, Ramsey E, Pollack H (1990) Self-expanding metallic stents in the canine prostatic urethra: Assessment of urothelial covering and histologic reaction. Presented at the Radiological Society of North America Meeting, Chicago, December 1990
Holtgrewe H, Mebust W, Dowd J (1989) Transurethral prostatectomy: Practice aspects of the dominant operation in American urology. J Urol 141:248–253
Vicente J, Chechile G, Salvador J, Izquierdo F (1989) Long-term follow-up of patients with intraurethral prostheses. Semin Int Radiol 6:82–89
Reuter HJ, Oettinger M (1986) Las primeras experiencias con la espiral de acero en lugar del cateter permanente. Arch Esp Urol 39:65–68
Fabian KM (1980) Der intraprostatische, partielle katheter (urologische spirale) urologe A 19:236–238
Fabricius PG, Matz M, Zepnick H Die endourethralspiraleeine alternative zum daverkatheter? Z (1990) Arztl Fortbild (Jena) 77:482–485 (1983)
Yachia D, Lask D, Rabinson S (1990) Self-retaining intraurethral stent: An alternative to long-term indwelling catheters or surgery in the treatment of prostatism. AJR 154:111–113
Bush W (1966) Uber den einfluss welchen heftigere erysipeln zuweilen auf organisiente neubildungen ausuben. Verhandl Naturh Preuss Rhein Westphal 23:28–30
Emami B, Song CW (1984) Physiological mechanisms in hyperthermia: A review. Int J Radiation Oncol Biol Phys 10:289–295
Blandy JP (1986) The history and current problems of prostatic obstruction. In: Blandy JP, Lytton B (eds): Butterworths, Stoneham, MA pp 17–18
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Castañeda, F., Hernandez-Graulau, J.M. & Castañeda-Zúñiga, W.R. Interventional radiology of the lower urinary tract and its relationship to surgical treatment. Cardiovasc Intervent Radiol 14, 205–221 (1991). https://doi.org/10.1007/BF02578462
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DOI: https://doi.org/10.1007/BF02578462