Posted , 2 users are following.
I am asking on behalf of my dad who is at the end of his tether with his urethral stricture which he has had operated on 10 times now over the last 8 years.He is now trying to persuade his surgeon to try a permanent stent as he doesnt fancy the skin grafting option! Has anyone been down this route?
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Guest
Posted
I would follow your doctor options and maybe would ask another doctor's opinion, but not just to hear from them the answer your father wants (to use the stent) but to hear more valuable opnions.
As for stends I read the may work, but the are very hard to remove in case they have to, because the prothesis \"melts\" with the inner tissue. So, in case the had to remove for any reason it'd be difficult...
Hope this is helpful for you and wish the best to your father
Regards from Madrid, Spain.
medexperience
Posted
I can only sympathise. Being subjected to this endless cycle so often for so long is a terrible prospect. These have been repeat urethrotomies or dilatations, right?
Myself, I had a urethroplasty with buccal mucosa graft - using tissue transferred from the cheek lining in the mouth. At three years, this has worked very well for me so far. I feel it is a sacrifice, donating tissue from the mouth, but for me it has been well worth it. There are always risks, but I didn't suffer any real complications.
I guess you're talking about urethroplasty using penile skin graft. I can see why that isn't an appealing idea. But the highest cure rates are achieved by some form of urethroplasty. Presumably, since this is being proposed, your father is judged fit to undergo this kind of surgery.
You could ask about variations - such as using buccal mucosa or intestinal mucosa grafts. Personally, I would love it if cultured tissue were the thing. Some people have tried this, but some say it's not really ready for prime time.
Here are just a few articles you might find interesting:
[b:f0689be146]Buccal Mucosal Urethroplasty In Patients Who Had Multiple Previous Procedures[/b:f0689be146]
http://www.medicalnewstoday.com/articles/65646.php
[b:f0689be146]Small Intestinal Submucosa (SIS) Graft Urethroplasty: Short-term Results[/b:f0689be146]
http://cirugiauretra.grupoaulamedica.com/pdf/bloque1/b1_22.pdf
[b:f0689be146]Stents and Urethral Strictures: A Lesson Learned?[/b:f0689be146]
\"These results [with stents] do not seem competitive with the excellent long-term >80% success rate of urethroplasty.\"
http://www.urethralsurgery.com/det_bibliografia_eng.asp?id=88
Guest
Posted
medexperience
Posted
[b:e364531301]Permanent stents[/b:e364531301] were introduced a number of years ago. Unfortunately, they [b:e364531301]have not stayed the test of time[/b:e364531301] because they have been clearly shown to be associated with complications, particularly if they are inserted to manage a failed urethroplasty. Permanently implanted stents should only be considered in patients seeking a solution other than a permanent catheter who either are unfit for or refuse a bulbar urethroplasty and cannot use intermittent self-dilatation.
[size=9:e364531301]Anterior Urethral Surgery: Current Concepts and Future Directions
Christopher Chapple
Sheffield Teaching Hospitals, Glossop Road, Sheffield S10 2 JF, UK[/size:e364531301]
http://www.europeanurology.com/article/S0302-2838(10)00135-1
http://www.europeanurology.com/article/S0302-2838(10)00135-1/pdf[/quote:e364531301]