Long-term results of permanent urethral stent Memotherm implantation in the management of recurrent bulbar urethral stenosis.
| Autor: | Sertcelik MN; Ankara Diskapi Yildirim Beyazit Training and Research Hospital 1. Urology Clinic, Ankara, Turkey., Bozkurt IH, Yalcinkaya F, Zengin K |
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| Jazyk: | angličtina |
| Zdroj: | BJU international [BJU Int] 2011 Dec; Vol. 108 (11), pp. 1839-42. Date of Electronic Publication: 2011 Jul 14. |
| DOI: | 10.1111/j.1464-410X.2011.10230.x |
| Abstrakt: | Unlabelled: What's known on the subject? and What does the study add? Milroy reported 84% success at a mean of 4.5 years follow-up by usage of a permanently implantable "urolume" spent in 1993. Memotherm was developed later, especially for urologic use. Our study is one of the largest in this urea, with a high number of patients and a long follow-up period. Objective: • To evaluate the effectiveness and long-term results of permanent urethral stent (Memotherm) implantation in the treatment of recurrent bulbar urethral stricture. Patients and Methods: • In all, 47 patients with a history of previous unsuccessful treatment for bulbar urethral stricture were treated using Memotherm bulbar urethral stents between 1998 and 2002. • Long-term follow-up data was analysed and discussed. Results: • At the end of the 7-year period 37 of 47 patients (78.7%) had been treated successfully. • Post-micturition dribbling incontinence lasting up to 3 months after stent placement occurred in 32 (68.1%) patients, but this was reduced to only seven patients (14.9%) by the 7-year follow-up. • There was stress incontinence of various severities in nine (19.2%) patients at the 1-year follow-up. These patients were those who had stenosed urethral segments adjacent to the external sphincter. At the long-term follow-up <10% of the patients had stress incontinence complaints. Conclusion: • Memotherm is a good treatment option in patients with recurrent bulbar urethral stricture of any cause. (© 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.) |
| Databáze: | MEDLINE |
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