The Use of the Memokath™ Stent in the Treatment of Detrusor Sphincter Dyssynergia in Spinal Cord Injury Patients: A Single-Centre Seven-Year Experience

Hamid, Rizwan; Arya, Manit; Wood, Sharon; Patel, Hitesh; Shah, P.J.R.

doi:10.1016/s0302-2838(03)00137-4

Cited by 29 publications

(17 citation statements)

References 16 publications

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“…Autonomic hyperreflexia was less frequent than previously reported (1.4%), 12 which is related to the position of the stent. In our series, all stents were placed within the sphincter, distal to the veru montanum.…”

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confidence: 49%

“…This rate may appear to be high, but it is nevertheless comparable to rates reported previously. 12,18 In our experience, it was frequently associated with a severe spasticity. Treatment of DSD by temporary stent X Gamé et al…”

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confidence: 68%

“…10 The majority of published studies concern permanent urethral sphincter stents. [11][12][13] However, increasingly frequently, patients request conservative and reversible management. In some cases, the impossibility or refusal of clean intermittent catheterization may be only transient and a temporary urethral sphincter stent can be placed in these situations.…”

Section: Introductionmentioning

confidence: 99%

“…This type of test is now facilitated by the Diabolo temporary stent, specifically developed for the external sphincter. 20 The objectives of this test are to ensure adequate application of the condom catheter, 20 verify the absence of autonomic hyperreflexia induced by the stent, 12 assess acceptability of the voiding method, verify the efficacy on bladder emptying, study bladder emptying in the sitting position, improve the patient's independence and give the patient time to think about the possibilities of semen preservation, problems of fertility and sex life. After the trial period with a temporary stent, the patient can then choose the preferred voiding method, that is, return to the former method or opt for a temporary stent or a permanent stent.…”

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confidence: 99%

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Outcome after treatment of detrusor–sphincter dyssynergia by temporary stent

et al. 2007

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Objectives: To evaluate follow-up treatments used after treatment of detrusor-sphincter dyssynergia (DSD) by a temporary urethral sphincter stent. Materials and methods: Between February 1994 and June 2003, 147 men with a mean age of 41.3714.4 years were treated by temporary urethral stent inserted across the external sphincter for DSD. The underlying neurologic disease was quadriplegia in 85 cases, multiple sclerosis in 24 cases and paraplegia in 21 cases. A Nissenkorn (Bard) stent was used in 130 cases and a Diabolo (Porgès) stent was used in 17 cases. All patients were either unable to or they refused to perform intermittent selfcatheterization. DSD was demonstrated by urodynamic studies in every case. Results: The mean duration of temporary stenting was 10.15716.07 months. After temporary stenting, 92 patients were treated by permanent stent (Ultraflex, Boston Scientifics), 7 started intermittent self-catheterization, 12 had repeated changes of the temporary stent, 4 had an indwelling catheter, 3 underwent cystectomy with non-continent diversion, 2 were treated by endoscopic sphincterotomy, 1 was treated by bladder neck incision, 1 was treated by neuromodulation and 1 was treated by cystostomy. Fifteen patients were lost to follow-up. Two patients died during follow-up (not related to DSD). Conclusion: After treatment of DSD by a temporary urethral sphincter stent, 70.7% of patients subsequently require a permanent urethral sphincter stent. This period allows selection of patients unlikely to benefit from permanent urethral sphincter stent.

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confidence: 49%

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confidence: 68%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Outcome after treatment of detrusor–sphincter dyssynergia by temporary stent

et al. 2007

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“…1 Nonetheless, some of our patients find sphincterotomy a destructive and nonreversible option even when informed about the complications of sphincter dyssynergia. This is more so for incomplete spinal cord injury patients who void on dependable urge and manage to leave o10% residual volumes and do not desire catheterisations in any form.…”

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confidence: 91%