Long-term results of permanent memotherm urethral stent in the treatment of recurrent bulbar urethral strictures

Long-term results of permanent memotherm urethral stent in the treatment of recurrent bulbar urethral strictures

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Purpose: To evaluate the long term outcomes of permanent Memotherm Flywheel Housing urethral stent in the treatment of recurrent bulbar urethral stricture.Materials and Methods: Twenty patients who underwent permanent Memotherm urethral stent implantation due to recurrent bulbar urethral stricture following previous unsuccessful surgical procedure from 1996 to 2002 were included in the study.Long-term outcomes of the patients were evaluated.

Results: The overall success rate was 87.5% at the end of the tenth year.There was discomfort in implantation area in eight patients about 1 month following the procedure.

These patients were treated with alpha-blocker and anti-inflammatory drugs.Stone formation was observed at the urethral stent implantation area in two patients.Post-void dripping has been Protective Clothing observed in 15 patients up to the postoperative 3rd month.

Stress urinary incontinence was observed in a patient with a 1-year follow-up.Partial stent migration was observed in two patients.None of the patients experienced pain during erection.

Conclusion: Memotherm urethral stent is a minimal invasive surgical procedure which can be safely and effectively used in patients with recurrent urethral stricture.