[Treatment of urethral stenosis by self expandable endourethral prosthesis. Long-term results].
OBJECTIVE
Urethral stenosis is a frequent disease in males. The variable results of its treatment have prompted the surgeon to search for new therapeutic alternatives. We propose to treat it by self expandable endourethral prosthesis.


METHODS
Since February 1993 to March 2000 48 patients with urethral stenosis previously treated with endoscopic urethrotomy have undergone the procedure.


RESULTS
All patients completed a minimum of 3 years of follow-up. Patients lost to follow-up for any cause were not included in the final study description. All patients had satisfactory micturition at the time of discharge. Mean flow on uroflowmetry at three years was higher than 14 ml/ s in 87.5% (42/48 patients evaluated).


CONCLUSIONS
The use of self expandable endourethral prosthesis is a valid alternative in the treatment of recurrent urethral strictures due to its good long-term results and low morbidity. We recommend not using it in cases of traumatic etiology.
Tramoyeres Galvañ
Alfredo
A
Servicio de Urología, Hospital General Universitario, Valencia, España. alfredotramoyeres@hotmail.com
Cánovas Ivorra
Jose Antonio
JA
Sánchez Ballester
Francisco
F
de la Torre Abril
Luis
L
Ramada Benlloch
Francisco
F
López Alcina
Emilio
E
Navalón Verdejo
Pedro
P
Zaragozá Orts
Julio
J
D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D055502:Secondary Prevention; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000473:pathology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods