Holmium laser core through internal urethrotomy with explantation of UroLume stent. An ideal approach for a complicated posterior urethral stricture.
Although the UroLume wallstent has been proven effective in the treatment of recurrent urethral stricture, obstruction may recur in some cases. A likely cause of obstruction is hyperplastic tissue reaction, which may necessitate the removal of the stent. The hyperplastic tissue reaction may be severe, resulting in a completely obliterative stricture. Stent removal with a completely obliterative stricture and the stent in situ is a tedious job, as there is no lumen in which to place the laser fiber to cut the stent wires. We report on a patient in whom a UroLume urethral stent was placed one year ago for post-traumatic recurrent bulbomembranous urethral stricture. The stricture recurred in spite of the stent in place and the lumen was finally completely obliterated. A holmium laser was used for core through internal urethrotomy and the explantation of the stent.
Gupta
N P
NP
Department of Urology, All India Institute of Medical Sciences, New Delhi, India. narmadagupta@hotmail.com
Ansari
M S
MS
D000328:Adult; D050723:Fractures, Bone / Q000150:complications; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D010388:Pelvis / Q000293:injuries; D012008:Recurrence; D015607:Stents; D014521:Urethra / Q000293:injuries / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000628:therapy*