دورية أكاديمية
Self-expanding stent insertion for urethral strictures: a 10-year follow-up.
| العنوان: | Self-expanding stent insertion for urethral strictures: a 10-year follow-up. |
|---|---|
| المؤلفون: | De Vocht TF; Department of Urology, University Medical Centre Utrecht, The Netherlands., van Venrooij GE, Boon TA |
| المصدر: | BJU international [BJU Int] 2003 May; Vol. 91 (7), pp. 627-30. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Science Country of Publication: England NLM ID: 100886721 Publication Model: Print Cited Medium: Print ISSN: 1464-4096 (Print) Linking ISSN: 14644096 NLM ISO Abbreviation: BJU Int Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford, UK : Blackwell Science, c1999- |
| مواضيع طبية MeSH: | Stents/*adverse effects , Urethral Stricture/*therapy, Adult ; Aged ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Recurrence ; Sexual Dysfunction, Physiological/etiology ; Urethral Stricture/physiopathology ; Urinary Catheterization ; Urinary Incontinence/etiology ; Urodynamics |
| مستخلص: | 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. |
| تواريخ الأحداث: | Date Created: 20030418 Date Completed: 20030623 Latest Revision: 20190906 |
| رمز التحديث: | 20240627 |
| DOI: | 10.1046/j.1464-410x.2003.04200.x |
| PMID: | 12699473 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1464-4096 |
|---|---|
| DOI: | 10.1046/j.1464-410x.2003.04200.x |