Memokath® 044TW Stent for Treatment of Urethral Stricture

Last updated: November 17, 2009
Sponsor: Pnn Medical DK
Overall Status: Completed

Phase

3

Condition

Enuresis

Peyronie's Disease

Treatment

N/A

Clinical Study ID

NCT00270504
1-044TWUS
  • Ages > 21
  • Male

Study Summary

The purpose of this study is to evaluate if the placement of a temporary urethral stent for up to 12 months, following dilation or internal urethrotomy (cutting open), results in a higher rate of urethral patency during the first year of follow-up when compared to the control group that does not receive a stent.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Males > 21 years of age

  2. Recurrent stricture of the bulbar urethra:

  3. < 50 mm in length on urethrography; and which

  4. has a segment unable to accommodate a 16Fr flexible cystoscope

  5. Healthy tissue on both sides of stent

  6. Urinary flow in the abnormal range of the Siroky nomogram.

  7. Written informed consent obtained prior to participation in the study

  8. Patients must be available for all follow-up visits.

Exclusion

Exclusion Criteria:

  1. Strictures:

  2. outside the bulbous urethra

  3. associated with, or suspected to be, urethral carcinoma

  4. secondary to pelvic distraction injuries

  5. Inability to enlarge the bulbar urethral stricture to > 26 Fr.

  6. Presence of any other urologic implant

  7. Presence of urethral diverticuli

  8. History of hypospadias repair

  9. Presence or prior history of balanitis xerotica obliterans.

  10. Uncontrolled bleeding disorder

  11. Active urinary tract infection

  12. Any urological condition that would be likely to require additional urethralinstrumentation during the period of the investigation, including, but not limited to,benign prostatic hypertrophy requiring treatment; use of alpha blockers; activeprostate cancer; an unevaluated elevated prostate-specific antigen (PSA); bladdermalignancy; or any recurrent urinary stone formation.

  13. Serum creatinine > 2.0 mg/dl or evidence of progressive renal disease

  14. Concurrent participation in another clinical investigation

  15. Current illness that might confound the results of this investigation

  16. Inability to participate in all of the necessary study activities

  17. Inability or unwillingness to return for all required follow-up visits

  18. Inability or unwillingness to sign the patient informed consent document

Study Design

Total Participants: 92
Study Start date:
December 01, 2002
Estimated Completion Date:
November 30, 2009

Study Description

Patients with bulbar urethral stricture are 2:1 randomised for either urethral dilation or internal urethrotomy with (treatment group) or without (control group) subsequent stenting. All patients are followed for up to one year at 4-6 weeks, 3, 6, 9 and 12 months with visual assessment (urethroscopy) of urethral patency at the treated segment of the urethra. The stent is removed at one year. In case of premature stent removal the patient is also followed for up to one year unless further intervention is decided.

Control patients are offered the stent treatment option if the stricture recurs within the observation period but this group is separately analysed.

Connect with a study center

  • Jack McAninch

    San Francisco, California 94110
    United States

    Site Not Available

  • Mississippi Urology

    Jackson, Mississippi 39202
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Bryn Mawr Urology

    Bryn Mawr, Pennsylvania 19010
    United States

    Site Not Available

  • University Urological Associates

    Providence, Rhode Island 02904
    United States

    Site Not Available

  • Devine-Tidewater Urology

    Norfolk, Virginia 23510
    United States

    Site Not Available

  • Harborview Medical Center

    Seattle, Washington 98104
    United States

    Site Not Available

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