["Wallstent" endoprosthesis in recurrent urethral stricture in men].
Many patients are condemned to repeated urethral dilatations because of the poor efficacy of treatment for male urethral stricture. The authors have recently used a new urethral prosthesis: a metal-reinforced, meshed tube which opens in the urethra and maintains a it open allowing the urothelium to grow over. The prosthesis therefore becomes incorporated in the wall of the urethra. they have implanted this prosthesis in 21 patients with a mean age of 61 years, essentially in the bulbar urethra, for longstanding strictures measuring 5 to 35 mm and unresponsive to currently available treatments. The endoscopic insertion of the prosthesis is performed after dilatation. The mean follow-up is 9 months. The stricture was correctly treated in all patients (three patients required two sessions). The follow-up of these patients is short and the stability of these favourable results needs to be confirmed by a longer follow-up.
Coulange
C
C
Service d'Urologie, CH de la Timone, Marseille.
Rossi
D
D
Vaillant
J L
JL
Soler
B
B
Eldin
A
A
Rampal
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003558:Cystoscopy; D004106:Dilatation / Q000379:methods; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D015607:Stents / Q000592:standards*; D014525:Urethral Stricture / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014567:Urography
L'endoprothèse "Wallstent" dans les sténoses récidivantes de l'urètre masculin.