The use of self‐expanding metallic urethral stents in the treatment of recurrent bulbar urethral strictures: long‐term results

Objective To evaluate the effectiveness and long‐term results of using a self‐expanding metallic urethral stent (Urolume™, American Medical Systems, Minnetonka, MI, USA) to treat recurrent bulbar urethral strictures. Patients and methods Between 1990 and 1999, 65 stents were placed in 60 men (mean a...

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Bibliographic Details
Published in:BJU international 2000-10, Vol.86 (6), p.686-689
Main Authors: Sertcelik, N., Sagnak, L., Imamoglu, A., Temel, M., Tuygun, C.
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Diseases of the urinary system
Follow-Up Studies
Humans
Male
Medical sciences
metallic stent
Middle Aged
outcome
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Recurrence
Stents - adverse effects
treatment
Treatment Outcome
Urethral Stricture - therapy
Urethral strictures
Urinary Incontinence - etiology
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Summary:Objective To evaluate the effectiveness and long‐term results of using a self‐expanding metallic urethral stent (Urolume™, American Medical Systems, Minnetonka, MI, USA) to treat recurrent bulbar urethral strictures. Patients and methods Between 1990 and 1999, 65 stents were placed in 60 men (mean age 45.2 years, range 20–71) with a urethral stricture (mostly caused by trauma and present for a mean of 4.3 years, range 0.16–26) and who had previously undergone different unsuccessful treatments. Results During a mean (range) follow‐up of 3.8 (1–9) years the strictures in 52 of the 60 patients (87%) were treated successfully. All patients initially had postvoid dribbling incontinence, but this resolved in most within one week; 19 patients remain incontinent. Conclusion The Urolume is a cost‐effective alternative to other treatments for recurrent bulbar urethral strictures of whatever cause.
ISSN:1464-4096
1464-410X
DOI:10.1046/j.1464-410x.2000.00891.x