[A quiet revolution: the Wallstent urethral prosthesis (Urolume AMS)].
14 patients (mean age: 57 years) with posterior urethral stricture were treated by internal urethrotomy and implantation of one or several Wallsten prostheses. The stent had to be removed in 2 patients (15%), while 12 patients (85%) obtained satisfactory urethral patency (mean follow-up: 17.5 months). Complications were observed in 50% of cases. They were able to be treated endoscopically with a satisfactory result in 5 out of 6 cases (intraprosthetic calculi or stenosis of the ends of the stent; 2 patients who became incontinent after insertion of the stent regained normal continence after insertion of an artificial sphincter above the stent. The Wallsten endoprosthesis therefore appears to be a very satisfactory treatment for recurrent complex strictures of the posterior urethra.
Abbar
M
M
Service Urologie et Chirurgie de Transplantation, Hôpital Edouard Herriot, Lyon.
Gelet
A
A
Cuzin
B
B
Viguier
J L
JL
Martin
X
X
Maréchal
J M
JM
Dubernard
J M
JM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D011474:Prosthesis Design; D015607:Stents; D014522:Urethral Diseases / Q000209:etiology; D014525:Urethral Stricture / Q000601:surgery*; D014545:Urinary Calculi / Q000209:etiology; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000209:etiology
Une révolution tranquille: l'endoprothèse uréthrale de Wallstent (Urolume AMS).