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Allium^TM Bulbar Urethral Stent: An Updated Long-Term Multi-Center Study with New Treatment Modality for Bulbar Urethral Stricture

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Open Journal of Urology 2016年第3期6卷 43-48页

作者： Melih Culha Zaher Bahouth Unsal Ozkuvanci Sarel Halachmi Levend Ozkan Ofer Nativ Ali Saribacak Murat Ustuner Ufuk Yavuz seyfettin ciftci Hasan Yilmaz Boaz Moskovitz Department of Urology School of Medicine Kocaeli University &Igrave zmit Turkey Department of Urology Bnai-Zion Medical Center Technion Faculty of Medicine Haifa Israel Department of Urology Haseki Research and Training Hospital Turkey Department of Urology Izmit Konak Hospital &Igrave zmit Turkey

Objectives: To report the 2-years follow-up of patients with bulbar urethral strictures treated with the new AlliumTM Bulbar Urethral Stent (Allium BUS). Methods: The stent is a fully covered, self-expendable, large caliber metal stent specially designed for the treatment of bulbar urethral strictures. The stent is comprised of a coiled super-elastic structure covered by a polymeric coating designed to prevent mucosal hyperplasia. The indwelling time is 12 months, after which the stent should have been removed. Sixty-four patients with recurrent bulbar stricture were treated with Allium BUS in 3 worldwide centers. Results: All stents were successfully inserted with no perioperative complications. In a median follow-up of 25.5 months, the mean maximal flow rate following stent insertion was significantly higher compared to the pre-surgical flow rate (14 ml/sec vs 6.6 ml/sec, p < 0.0001). Longer indwelling time and shorter stricture length were significantly related to success rate. The main complications were stent migration, stent re-stenosis and urinary tract infections. Conclusions: The temporary placement of the AlliumTM BUS showed encouraging results with long-term failure rate of only 25%.

关键词： Allium BUS Bulbar Stricture Urethral Stent Urethral Stricture Urethroplasty

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