Urethroplasty After Urethral Urolume Stent: An International Multicenter Experience

Angulo, Javier C.; Kulkarni, Sanjay; Pankaj, Joshi; Nikolavsky, Dmitriy; Suárez, José P.; Virasoro, Ramón; DeLong, Jessica; Martins, Francisco E.; Lumen, Nicolaas; Giúdice, Carlos; Suarez, Oscar; Menéndez, N. Corzo; Capiel, Leandro; López-Alvarado, D.; Ramirez, Erick A.; Venkatesan, Krishnan; Husainat, Maha; Esquinas, Cristina; Arance, I.; Gómez, Reynaldo; Santucci, Richard A.

doi:10.1016/j.urology.2018.04.031

Cited by 14 publications

(7 citation statements)

References 22 publications

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“…These endoluminal stents were enthusiastically introduced in the 1990s, especially for short, recurrent bulbar strictures as they offered promising short-term success rates [39]. However, in the long-term, devastating problems occurred in patients after endoluminal stent implantation including restenosis due to overgrowth, stent migration, encrustation, and infection [39]. Thereafter, endoluminal stents rapidly decreased in popularity and several reconstructive techniques were advocated for urethroplasty after endoluminal stent failure [39].…”

Section: Treatmentmentioning

confidence: 99%

“…However, in the long-term, devastating problems occurred in patients after endoluminal stent implantation including restenosis due to overgrowth, stent migration, encrustation, and infection [39]. Thereafter, endoluminal stents rapidly decreased in popularity and several reconstructive techniques were advocated for urethroplasty after endoluminal stent failure [39].…”

Section: Treatmentmentioning

confidence: 99%

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A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

Verla

Oosterlinck

Spinoit

et al. 2019

BioMed Research International

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To date, urethral stricture disease in men, though relatively common, represents an often poorly managed condition. Therefore, this article is dedicated to encompassing the currently existing data upon anatomy, etiology, symptoms, diagnosis, and treatment of the disease, based on more than 40 years of experience at a tertiary referral center and a PubMed literature review enclosing publications until September 2018.

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Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

Verla

Oosterlinck

Spinoit

et al. 2019

BioMed Research International

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“…15 , 18 Since then, urethral stents have been used as an alternative minimally invasive treatment option in patients with urethral strictures who are not suitable for urethroplasty, in patients with catheter due to benign prostatic obstruction, in patients with an obstruction due to prostate cancer, and also in patients who are candidates for surgical sphincterotomy due to spinal trauma. 15 Unfortunately, there were short- and long-term complications associated with permanent stents such as UroLume, 19 , 20 which has resulted in persisting prejudice against the use of permanent stents. However, temporary stents have also been used for urethral stricture.…”

Section: Discussionmentioning

confidence: 99%

Minimal invasive management of bladder neck contracture using Allium round posterior stent: the long-term results

Teke

Bosnalı

Kara

et al. 2021

Prostate International

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Background The purpose of this study was to assess the long-term clinical efficacy of temporary, Allium round posterior stent (RPS) used for treatment of recurrent bladder neck contracture (BNC). Methods Records of 42 patients with recurrent BNC who underwent Allium RPS placement after bladder neck incision, between 2009 and 2019, were analyzed. After stent removal, the success criteria for Allium RPS treatment were defined as: no evidence of stricture on urethrogram or endoscopy; more than 12 ml/sec of urinary peak flow; and no recurrent urinary tract infections. Based on clinical success, patients were divided into two groups and compared. Clinical success was evaluated with particular regard to stent indwelling time and contracture etiology. Results The mean ± standard deviation age, stricture length, and indwelling time were 66.7 ± 9 years, 2.4 ± 1.4 cm, and 7.7 ± 2.2 months, respectively. Median (range) follow-up was 59 (8–73) months. The etiologies of BNC in this cohort were 57.1% retropubic radical prostatectomy; and 42.9% transurethral resection of prostate. Overall clinical success was achieved in 64.3% and the success rates did not differ by etiology. The success rates were 54.2% and 77.8% ( P = 0.118) for retropubic radical prostatectomy and transurethral resection of prostate, respectively. Longer indwelling time (8–14 vs 3–7, months) was significantly associated with clinical success (78.3% vs 47.4%, P = 0.040). Conclusion Our data suggest that better clinical success was associated with longer indwelling time for stent in BNC treatment. In BNC management, Allium RPS treatment may be considered since its clinical efficacy is acceptable and tolerable.

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“…Наиболее частыми осложнениями, по данным авторов, являются кальцинация стента, дискомфорт в зоне имплантации стента, миграция стента, подтекание мочи после акта мочеиспускания [5]. Другими авторами описаны такие осложнения, как рецидивирующая инфекция мочевых путей, увеличение зоны спонгиофиброза на фоне установленного стента и рецидивы СУ [8]. Возникновение данных осложнений и возникновение спонгиофиброза ограничивают использование уретральных стентов.…”

Section: эндоуретральные методы лечения стриктур уретры у мужчинunclassified

Algorithm for choosing the method of surgical treatment for urethral strictures in males

Кветень¹,

Ниткин²

2020

Vestnik VSMU

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Резюме. В данном обзоре литературы представлены сведения о существующих подходах к хирургическому лечению стриктур уретры у мужчин. Приведены данные относительно применения малоинвазивных методов (бужирование, баллонная дилатация, стентирование, внутренняя оптическая уретротомия, трансуретральная резекция) и способов уретропластики (анастомотическая, заместительная, меатотомия и меатопластика, перинеостомия), изложены ближайшие и отдаленные результаты применения данных техник. Описываются высокие результаты применения эндоурологических вмешательств, достигающие 80% частоты успеха. Однако имеются противоположные мнения, согласно которым эффективность внутренней оптической уретротомии в отдаленном периоде не превышает 30%. В то же время, при стриктурах уретры более 2 см нередко выполняется открытая уретропластика, эффективность некоторых способов которой, при должном соблюдении правил, превосходит результаты эндоурологических вмешательств. На основании проведенного обзора литературы, исходя из современных тенденций, разработан комплексный алгоритм выбора метода оперативного лечения стриктур уретры у мужчин в зависимости от протяженности, локализации, этиологии, анамнеза, сопутствующих заболеваний, возраста пациента. В перспективе данный алгоритм может помочь в выборе метода хирургического лечения, снизить частоту рецидивов в отдаленном периоде и привести к улучшению качества жизни пациентов со стриктурой уретры. Ключевые слова: стриктура уретры, бужирование, стентирование, уретротомия, уретропластика. Abstarct. This literature review provides information on existing approaches to the surgical treatment of urethral strictures in males. Data on the use of minimally invasive methods (dilation, balloon dilatation, stenting, internal optical urethrotomy, transurethral resection) and methods of urethroplasty (anastomotic, substitutional, meatotomy and meatoplasty, perineostomy) are presented, the short-term and long-term results of the application of these techniques are described. High results of the application of endourological interventions, reaching 80% success rate, are described. However, there are conflicting opinions according to which the effectiveness of internal optical urethrotomy in the long term does not exceed 30%. At the same time, with urethral strictures of more than 2 cm, open urethroplasty is often performed, the effectiveness of some methods of which surpasses the results of endourological interventions. On thе basis of the literature review done, based on current trends, a comprehensive algorithm has been developed for choosing the method for surgical treatment of urethral strictures in males, depending on the length, localization, etiology, anamnesis, concomitant diseases, and the patient's age. In the future, this algorithm can help in choosing a method of surgical treatment, reduce the recurrence rate in the long term and lead to an improvement in the life quality of patients with urethral strictures.

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Urethroplasty After Urethral Urolume Stent: An International Multicenter Experience

Cited by 14 publications

References 22 publications

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

Minimal invasive management of bladder neck contracture using Allium round posterior stent: the long-term results

Algorithm for choosing the method of surgical treatment for urethral strictures in males

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