ABSTRACT

Conclusions Sphincter stent prosthesis placement effectively decreases detrusor pressure in patients afflicted with DESD. On the basis of experience with Urolume™ stent placement at various levels of the urethra (including the bladder neck, prostate, and bulbous urethra), for various reasons, patients undergoing sphincter stent placement have the least complaints postoperatively. These patients are neurologically impaired and most have ejaculatory dysfunction; therefore few report pain, urinary dribbling, irritation, or haematospermia. In addition, the risk of encrustation, stone formation, and incomplete epithelization is minimal in patients with sphincter stent placement compared with patients with bladder neck or prostate stent placement.