| Self-expanding stent insertion for urethral strictures: a 10-year follow-up. | |
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MedLine Citation:
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PMID: 12699473 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the safety and efficacy of the Urolume endourethral self-expandable metallic stent (American Medical Systems, MI, USA) in treating urethral strictures, based on a follow-up of> 10 years. PATIENTS AND METHODS: Between November 1989 and June 1990, the Urolume stent was inserted into 15 patients (aged 25-77 years) who had recurrent urethral strictures. The mean duration of stricture before stent insertion was 10.9 years. The patients (all men) were followed using a questionnaire and uroflowmetry, and if necessary, retrograde cysto-urethrography and/or urethroscopy and/or X-ray urodynamics. RESULTS: Two failures were caused by excessive tissue proliferation in the stent, which ended in stent removal or a suprapubic catheter. Another two stents were removed because of discomfort or pain. Two patients developed stenosis in the stent after 7 and 9 years. In the final evaluation only two of the 15 patients were satisfied with their stent. The mean maximum urinary flow rate at the last follow-up was 15 mL/s, and half the patients noted 'stent' incontinence. Lower urinary tract infections, urge and stress incontinence, and discomfort with ejaculation, were all symptoms perceived at the last follow-up. CONCLUSION: The long-term results of the Urolume stent in this study weaken the optimistic early results. Only two of the 15 patients were satisfied with their stent. |
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Authors:
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T F De Vocht; G E P M van Venrooij; T A Boon |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: BJU international Volume: 91 ISSN: 1464-4096 ISO Abbreviation: BJU Int. Publication Date: 2003 May |
Date Detail:
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Created Date: 2003-04-17 Completed Date: 2003-06-23 Revised Date: 2006-07-18 |
Medline Journal Info:
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Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
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Languages: eng Pagination: 627-30 Citation Subset: IM |
Affiliation:
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Department of Urology, University Medical Centre Utrecht, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Follow-Up Studies Humans Male Middle Aged Recurrence Sexual Dysfunction, Physiological / etiology Stents / adverse effects* Urethral Stricture / physiopathology, therapy* Urinary Catheterization Urinary Incontinence / etiology Urodynamics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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