alexa A novel thermo-expandable ureteral metal stent for the minimally invasive management of ureteral strictures.


Medical & Surgical Urology

Author(s): Papatsoris AG, Buchholz N

Abstract Share this page

Abstract PURPOSE: We assess the safety, efficacy, and cost of the novel long-term indwelling thermo-expandable Memokath ureteral stent for the management of malignant and benign ureteral strictures. MATERIALS AND METHODS: Since October 2004, we treated 73 patients (34 men), ages 23 to 84 years (mean 57.7) with 86 ureteral strictures (13 bilateral) with the Memokath 051 stent. The causes of the strictures were benign in 55 cases and malignant in 31 cases. Follow-up included radiography, renal ultrasonography, and renography if needed after 2 weeks, 3 months, and then every 6 months. RESULTS: The mean operative time was 23 minutes, while the mean hospital stay was 1.5 days. The average indwelling time of an individual Memokath was 11.2 months. After a mean follow-up period of 17.1 months, there were 68 stents in situ. In 12 cases, spontaneous resolution of the ureteral stricture was revealed after a mean indwelling time of 9 months. The remainding six cases were treatment failures. In 15 cases, because of late complications, a Memokath exchange took place after a mean period of 18 months. A total of 26 complications were revealed after the insertion of 102 Memokath stents. These included six cases of urinary tract infections; 15 stent manipulations were needed because of stent dislodgement, and 5 stents were removed because of encrustration and blockage. In the long term, the overall costs for the Memokath treatment and follow-up were considerably less than with the conventional Double-J stent. CONCLUSIONS: The ureteral Memokath stent is a promising, safe, and efficient treatment option for the minimally invasive management of both benign and malignant ureteral strictures. This article was published in J Endourol and referenced in Medical & Surgical Urology

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version