Summary
Urethral stents are a minimally invasive therapy used in the treatment of benign prostatic hyperplasia, urethral stricture, or detrusor sphincter dyssynergia. This chapter reviews the different types of urethral stents, indications for their use, and clinical results. Urethral stents may be positioned in the urethra or prostatic urethra and are classified as temporary or permanent. Temporary stents are further subdivided into biodegradable and nonbiodegradable. This form of therapy is particularly useful in patients who are at high anesthetic risk and are unable to undergo surgical procedures considered to be the gold standard, such as transurethral prostatectomy or open urethroplasty for prostatic enlargement and urethral stricture disease. Urethral stents can provide an effective alternative to transurethral and open procedures in many urological disorders that affect the prostate and urethra.
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References
The American Heritage Dictionary of the English Language, edn (2006) Houghton Mifflin, Boston
Badlani GH (1997) Role of permanent stents. J Endourol 11:473–475
Slutzker D, Richter S, Lang R, Nissenkorn I (1994) The use of a prostatic stent in high risk patients over 80 years old with benign prostatic hyperplasia and chronic retention. J Am Geriatr Soc 42:1004–1005
Juma S, Niku SD, Brodak PP, Joseph AC (1994) Urolume urethral wallstent in the treatment of detrusor sphincter dyssynergia. Paraplegia 32:616–621
Soni BM, Vaidyanatham S, Krishnan KR (1994) Use of Memokath, a second generation urethral stent for relief of urinary retention in male spinal cord injured patients. Paraplegia 32:480–488
Kapoor R, Liatsikos EN, Badlani G (2000) Endoprostatic stents for management of benign prostatic hyperplasia. Curr Opin Urol 10:19–22
Ogiste JS, Cooper K, Kaplan SA (2003) Are stents still a useful therapy for benign prostatic hyperplasia? Curr Opin Urol 13:51–57
Lam JS, Volpe MA, Kaplan SA (2001) Use of prostatic stents for the treatment of benign prostatic hyperplasia in high-risk patients. Curr Urol Rep 2:277–284
Nagae H, Mugiya S (2002) Other less invasive surgical therapy for BPH (urethral stent). Nippon Rinsho 60 (suppl 11):408–412
Steenkamp JW, Heyns CF, de Kock ML (1997) Internal urethrotomy versus dilation as treatment for male urethral strictures: a prospective, randomized comparison. J Urol 157:98–101
Santucci RA, McAninch JW, Mario LA, Rajpurkar A, Chopra AK, Miller KS, Armenakas NA, Tieng EB, Morey AF (2004) Urethroplasty in patients older than 65 years: indications, results, outcomes and suggested treatment modifications. J Urol 172:201–203
Fitzpatrick JM, Mebust WK (2002) Minimally invasive and endoscopic management of benign prostatic hyperplasia. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ (eds) Campbell’s Urology, 8th edn. Saunders, Philadelphia, p 1381
Isotalo T, Nuutinen JP, Vaajanen A, Martikainen PM, Laurila M, Tormala P, Talja M, Tammela TL (2005) Biocompatibility and implantation properties of 2 differently braided, biodegradable, self-reinforced polylactic acid urethral stents: an experimental study in the rabbit. J Urol 174:2401–2404
Talja M, Valimaa T, Tammela T, Petas A, Tormala P (1997) Bioabsorbable and biodegradable stents in urology. J Endourol 11:391–397
Djavan B, Ghawidel K, Basharkhah A, Hruby S, Bursa B, Marberger M (1999) Temporary intraurethral prostatic bridge-catheter compared with neoadjuvant and adjuvant alpha-blockade to improve early results of high-energy transurethral microwave thermotherapy. Urology 54:73–80
Petas A, Talja M, Tammela TL, Taari K, Valimaa T, Tormala P (1997) The biodegradable self-reinforced poly-dl-lactic acid spiral stent compared with a suprapubic catheter in the treatment of post-operative urinary retention after visual laser ablation of the prostate. Br J Urol 80:439–443
Barber NJ, Roodhouse AJ, Rathenborg P, Nordling J, Ellis BW (2005) Ease of removal of thermo-expandable prostate stents. BJU Int 96:578–580
Zivan I, Stein A (2001) New modality for treatment of resistant anastomotic strictures after radical prostatectomy: UroLume urethral stent. J Endourol 15:869–871
Elliott DS, Boone TB (2001) Combined stent and artificial urinary sphincter for management of severe recurrent bladder neck contracture and stress incontinence after prostatectomy: a long-term evaluation. J Urol 165:413–415
Wilson TS, Lemack GE, Dmochowski RR (2002) UroLume stents: lessons learned. J Urol 167:2477–2480
Milroy EJ, Chapple CR, Cooper JE, Eldin A, Wallsten H, Seddon AM, Rowles PM (1988) A new treatment for urethral strictures. Lancet 1:1424–1427
Williams G, Jager R, McLoughlin J, el Din A, Machan L, Gill K, Asopa R, Adam A (1989) Use of stents for treating obstruction of urinary outflow in patients unfit for surgery. BMJ 298:1429
Shaw PJ, Milroy EJ, Timoney AG, el Din A, Mitchell N (1990) Permanent external striated sphincter stents in patients with spinal injuries. Br J Urol 66:297–302
Fabian KM (1980) The intra-prostatic “partial catheter” (urological spiral) (author’s transl). Urologe A 19:236–238
Poulsen AL, Schou J, Ovesen H, Nordling J (1993) Memokath: a second generation of intraprostatic spirals. Br J Urol 72:331–334
Anjum MI, Chari R, Shetty A, Keen M, Palmer JH (1997) Long-term clinical results and quality of life after insertion of a self-expanding flexible endourethral prosthesis. Br J Urol 80:885–888
Masood S, Djaladat H, Kouriefs C, Keen M, Palmer JH (2004) The 12-year outcome analysis of an endourethral wallstent for treating benign prostatic hyperplasia. BJU Int 94:1271–1274
Milroy E, Chapple CR (1993) The UroLume stent in the management of benign prostatic hyperplasia. J Urol 150:1630–1635
Shah DK, Paul EM, Badlani GH (2003) 11-year outcome analysis of endourethral prosthesis for the treatment of recurrent bulbar urethral stricture. J Urol 170:1255–1258
Badlani GH, Press SM, Defalco A, Oesterling JE, Smith AD (1995) Urolume endourethral prosthesis for the treatment of urethral stricture disease: long-term results of the North American Multicenter UroLume Trial. Urology 45:846–856
Tillem SM, Press SM, Badlani GH (1997) Use of multiple urolume endourethral prostheses in complex bulbar urethral strictures. J Urol 157:1665–1668
Chancellor MB, Bennett C, Simoneau AR, Finocchiaro MV, Kline C, Bennett JK, Foote JE, Green BG, Martin SH, Killoran RW, Crewalk JA, Rivas DA (1999) Sphincteric stent versus external sphincterotomy in spinal cord injured men: prospective randomized multicenter trial. J Urol 161:1893–1898
Shah NC, Foley SJ, Edhem I, Shah PJ (1997) Use of Memokath temporary urethral stent in treatment of detrusor-sphincter dyssynergia. J Endourol 11:485–488
Denys P, Thiry-Escudie I, Ayoub N, Even-Schneider A, Benyahya S, Chartier-Kastler E (2004) Urethral stent for the treatment of detrusor-sphincter dyssynergia: evaluation of the clinical, urodynamic, endoscopic and radiological efficacy after more than 1 year. J Urol 172:605–607
Juan Garcia FJ, Salvador S, Montoto A, Lion S, Balvis B, Rodriguez A, Fernandez M, Sanchez J (1999) Intraurethral stent prosthesis in spinal cord injured patients with sphincter dyssynergia. Spinal Cord 37:54–57
Hamid R, Arya M, Wood S, Patel HR, Shah PJ (2003) The use of the Memokath stent in the treatment of detrusor sphincter dyssynergia in spinal cord injury patients: a single-centre seven-year experience. Eur Urol 43:539–543
Mehta SS, Tophill PR (2006) Memokath stents for the treatment of detrusor sphincter dyssynergia (DSD) in men with spinal cord injury: The Princess Royal Spinal Injuries Unit 10-year experience. Spinal Cord 44(1):1–6
Vaidyanathan S, Soni BM, Oo T, Sett P, Hughes PL, Singh G (2002) Long-term result of Memokath urethral sphincter stent in spinal cord injury patients. BMC Urol 2:12
Low AI, McRae PJ (1998) Use of the Memokath for detrusor-sphincter dyssynergia after spinal cord injury-a cautionary tale. Spinal Cord 36:39–44
Chapman SM, Wemyss-Holden GD, Clarke NW (1994) Urinary incontinence following urethral Wallstent insertion. Br J Urol 73:586
Shah DK, Kapoor R, Badlani GH (2003) Experience with urethral stent explantation. J Urol 169:1398–1400
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© 2006 The Japanese Society of Endourology and ESWL
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Duvdevani, M., Chew, B.H., Denstedt, J.D. (2006). Urethral Stents: Review of Technology and Clinical Applications. In: Baba, S., Ono, Y. (eds) Interventional Management of Urological Diseases. Recent Advances in Endourology, vol 8. Springer, Tokyo. https://doi.org/10.1007/978-4-431-35642-4_12
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DOI: https://doi.org/10.1007/978-4-431-35642-4_12
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