The self-expanding metallic ureteric stent in the long-term management of benign ureteric strictures

被引:41
作者
Arya, M [1 ]
Mostafid, H [1 ]
Patel, HRH [1 ]
Kellett, MJ [1 ]
Philp, T [1 ]
机构
[1] UCL, Inst Urol & Nephrol, London W1W 7EY, England
关键词
ureter; stent; stricture; Memokath (TM); self-expanding; metallic;
D O I
10.1046/j.1464-410X.2001.02322.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective To evaluate and assess the long-term complications of using the thermo-expandable. nickel-titanium alloy stent (Memokath(TM) 051, Engineers & Doctors A/S, Hornbaek, Denmark) for managing benign ureteric strictures. Patients and methods Over a 3-year period. 13 Memokath stents were inserted in 11 patients (mean age 58 years, range 35-85) with 12 lower ureteric strictures. The cause of the stricture was benign in all cases. i.e. radiation fibrosis in three, retroperitoneal fibrosis, ischaemic uretero-ileal anastomosis and scarring after ureteroscopy in two each, and diathermy damage, extraluminal endometriosis and stone passage in one each. Four stents were 9 F with proximal expansion to 17 F and the other nine used were 10.5 F with proximal expansion to 20 F. The patients were followed for it mean (range) of 18 (1.5-33) months. Results No complications or side-effects occurred with nine stents: four stents were removed at a mean (range) of 16.3 (4-33) months. Three of these had become encrusted, two of which had been placed in patients who had either a history of stone disease or recurrent urinary tract infection. The other stent had migrated. Conclusion The Memokath stent appears to have a useful role in managing benign ureteric strictures, but it must be closely monitored in patients who are predisposed to encrustation.
引用
收藏
页码:339 / 342
页数:4
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