[Treatment of ureteral stenosis complicated by endourethral prosthesis. Long-term results].
OBJECTIVE
To evaluate the long-term results obtained in the treatment of urethral stenosis complicated with urethral endoprosthesis.


METHODS
Between March 1991 and December 1996, 40 endourethral prosthesis were implanted in 36 patients; 2 prosthesis were placed in 4 patients. Of the 40 prosthesis implanted, 37 were UroLume and 3 Ultraflex. All, with the exception of 2, were patients with recurrent stenosis after earlier failures of prior internal urethrotomy and/or repeat urethral dilations.


RESULTS
Immediate post-operative symptomatic relief was achieved in 97.2% patients. Only one patient required removal of the endoprosthesis. In 4 patients (11.1%) urethral restenosis develop distal or proximal to the endoprosthesis. No patient developed restenosis due to endoprosthetic fibrosis.


CONCLUSIONS
The long-term results obtained in the treatment of bulbar urethral stenosis complicated with endoprosthesis demonstrate the efficacy and stability over time of this technique, which shows a low complications rate when patients are strictly selected.
Benejam Gual
J
J
Servicio de Urología, Hospital Miguel Servet, Zaragoza.
Rioja Sanz
C
C
García-Miralles Grávalos
R
R
Ascaso Cornago
I
I
Rioja Sanz
L A
LA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017755:Prosthesis Fitting; D015607:Stents; D014521:Urethra; D014525:Urethral Stricture / Q000628:therapy*