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Wen J, Nørby B, Osther PJS. Bladder Neck Contracture after Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia Treated with a Thermo-Expandable Metal Stent (Memokath® 045). Case Rep Urol. 2018;2018:2439421doi: 10.1155/2018/2439421.
Wen, J., Nørby, B., & Osther, P. J. S. (2018). Bladder Neck Contracture after Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia Treated with a Thermo-Expandable Metal Stent (Memokath® 045). Case reports in urology, 20182439421. https://doi.org/10.1155/2018/2439421
Wen, Jan, et al. "Bladder Neck Contracture after Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia Treated with a Thermo-Expandable Metal Stent (Memokath® 045)." Case reports in urology vol. 2018 (2018): 2439421. doi: https://doi.org/10.1155/2018/2439421
Wen J, Nørby B, Osther PJS. Bladder Neck Contracture after Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia Treated with a Thermo-Expandable Metal Stent (Memokath® 045). Case Rep Urol. 2018 May 09;2018:2439421. doi: 10.1155/2018/2439421. eCollection 2018. PMID: 29854549; PMCID: PMC5966698.
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Case Rep Urol. 2018 May 09;2018:2439421. doi: 10.1155/2018/2439421. eCollection 2018.

Bladder Neck Contracture after Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia Treated with a Thermo-Expandable Metal Stent (Memokath® 045).

Case reports in urology

Jan Wen, Bettina Nørby, Palle Jörn Sloth Osther

Affiliations

  1. Urological Research Center, Department of Urology, Vejle Hospital, Vejle, Denmark.
  2. Institute of Regional Health Research, University of Southern Denmark, Vejle, Denmark.

PMID: 29854549 PMCID: PMC5966698 DOI: 10.1155/2018/2439421

Abstract

Bladder neck contracture following transurethral resection of the prostate is a rare but feared complication. Treatment is often challenging with significant recurrence rates. In this report, we present a complicated case treated with a simple procedure. A 75-year-old male developed urinary retention due to bladder neck contracture after transurethral resection of the prostate. He was initially treated with several transurethral incisions, but the obstruction recurred few months after each incision. At urethroscopy, the bladder neck was completely obstructed. Using both retrograde and antegrade endoscopy, it was possible to place a through-and-through guidewire, after which the length of the stricture could be measured. Subsequently, the stricture was slightly dilated, and a double-cone thermo-expandable metal stent (Memokath 045) could be placed. The correct position was monitored with antegrade and retrograde endoscopy, securing the proximal cone expanded above the stricture and the distal cone above the sphincter. The patient was discharged the same day with spontaneous voiding and minimal residual urine. Twenty-one months after stent placement, the patient still had no complaints of his urination. Thus, the double-cone thermo-expandable metal stent, Memokath 045, may be a durable option for treatment of complicated bladder neck contracture after TURP for benign prostatic hyperplasia.

References

  1. Expert Rev Med Devices. 2007 Mar;4(2):99-101 - PubMed
  2. J Urol. 2013 Jul;190(1):130-6 - PubMed
  3. Eur Urol. 2010 Sep;58(3):384-97 - PubMed
  4. Urology. 2005 Mar;65(3):498-503; discussion 503 - PubMed
  5. N Engl J Med. 1989 Apr 27;320(17):1120-4 - PubMed
  6. Urology. 2013 Dec;82(6):1430-5 - PubMed
  7. World J Urol. 2016 Oct;34(10 ):1437-42 - PubMed
  8. J Urol. 2006 Jun;175(6):2083-6 - PubMed
  9. Minerva Urol Nefrol. 2017 Apr;69(2):133-143 - PubMed
  10. BMJ Case Rep. 2014 Dec 19;2014:null - PubMed
  11. J Urol. 2016 Mar;195(3):677-84 - PubMed
  12. J Endourol Case Rep. 2016 Sep 01;2(1):155-158 - PubMed
  13. Eur Urol. 2006 Nov;50(5):969-79; discussion 980 - PubMed
  14. J Endourol. 2001 Apr;15(3):317-21 - PubMed
  15. Int J Surg Case Rep. 2016;19:124-6 - PubMed
  16. Urology. 2000 Nov 1;56(5 Suppl 1):3-6 - PubMed
  17. J Urol. 1989 Feb;141(2):243-7 - PubMed
  18. Urol Clin North Am. 1990 Aug;17(3):601-12 - PubMed
  19. Urology. 2017 Sep;107:246-250 - PubMed
  20. J Urol. 1989 Feb;141(2):248-53 - PubMed
  21. World J Urol. 2007 Jun;25(3):263-7 - PubMed
  22. PLoS One. 2013 May 14;8(5):e63227 - PubMed
  23. J Endourol Case Rep. 2017 May 01;3(1):57-60 - PubMed
  24. Eur Urol. 2013 Jul;64(1):118-40 - PubMed

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