Memokath™ 045 Bladder Neck

Memokath™ 045 Bladder Neck is a non-allergenic metallic stent used to effectively treat bladder neck stricture without the discomfort of catheters or repeated incisions.

Brief introduction

Memokath™ 045 Bladder Neck is a non-allergenic metallic stent used to effectively treat bladder neck stricture. The stent is typically inserted in 30-45 minutes under local anesthesia through the urethra with a cystoscope and positioned across the stricture to allow urine to flow through the bladder neck. Memokath™ 045 Bladder neck preserves normal bladder control and provides urinary flow without the side-effects of major surgery and discomfort of catheters. It can remain inside the body for up two years or more before needing replacement.

Use of Memokath™ 045 Bladder Neck

Memokath™ 045 Bladder Neck is used for bladder neck strictures. Memokath™ 045 Bladder Neck treats strictures without the discomfort of catheters making it a preferred choice for patients who wish to avoid these. The effectiveness and long-term patency of Memokath™ 045 Bladder Neck also makes it viable solution for patients who receive incisions or dilatations regularly, as well as for patients of high age, frailty, or on anticoagulant medicine.

Indications

Bladder neck strictures
Etiology

Trauma
Instrumentations
Sexually transmitted diseases
TURP- or radical prostatectomy complications
Patient examples

Patients receiving repeat incisions or dilations
Patients on catheters
Patients of high age or frailty
Patients on anticoagulant medicine

The procedure

The insertion of Memokath™ 045 Bladder Neck is performed with a rigid cystoscope. It is typically carried out on a day case basis under local anesthesia but may need general or spinal anesthesia if VIU is necessary. The insertion normally takes app. 30 minutes. In most cases patients can empty their bladder immediately after Memokath™ 045 Bladder Neck placement and return to daily routines.

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Why choose Memokath™ 045 Bladder Neck?

Memokath™ 045 Bladder Neck is chosen as treatment method against bladder neck strictures due to its advantages over competing treatments. Memokath™ 045 Bladder Neck offers a high degree of patient safety and quality of life by avoiding the discomfort and life quality limiting use of catheters, as well as the dependence on regular dilatations and incisions. Through its extended insitu time among other factors and Memokath™ 045 Bladder Neck is moreover a sound economic choice of treatment, with the potential to save substantial costs compared to catherization and has demonstrated a high rate of long-term stricture resolution after stent removal.

Safety

100% reversible
Causes no tissue in-growth
Causes minimal risk of infection
No need for general anaesthesia
Replaces need for surgery

Quality of Life

Causes no impotence
Causes no incontinence
Retains voluntary urination control
Replaces need for catheters
Low risk of infection

Cost effectiveness

Fewer switches than with catheters
Out-patient procedure of app. 30 min.
Immediate return to daily activities
Easy to exchange when needed
Immediate symptom relief

Side effects and complications

Memokath™ 045 Bladder Neck generally causes few and only minor side-effects. Blood may occur in the patients’ urine for a period after the insertion, which is normal. The risk of complications is also minor and pertains to migration or encrustation of the stent. If the stent migrates, it can often be repositioned. If not, it can simply be removed or exchanged with a new stent. If the stent encrusts it will typically have to be exchanged. Vigilance by both patients and doctors towards recouping symptoms is always recommended to avoid complete encrustation.

Living with Memokath™ 045 Bladder Neck

Memokath™ 045 Bladder Neck typically offers patients a quick return to daily activities after treatment, most often with a substantial decrease in symptoms, and little or no side-effects or complications. Instructing the patients to drink plenty of water will help minimize risk of encrustation. Patient-checkups are advised to ensure the stent continue to function optimally.

For frequently asked questions about Memokath™ 045 Bladder neck, please refer to our FAQ section.

What treatments should Memokath™ 045 Bladder Neck be considered before?

Memokath™ 045 Bladder Neck should be presented to all relevant patients as part of the possible treatment options for bladder neck obstruction. Memokath™ 045 Bladder Neck has in many cases improved the quality of life substantially for patients living with catheters and should be thought of as an alternative to repeated incisions and dilatations which may negatively impact the life quality of patients if the first attempt does not have the desired long-term effect. Consider treatment with Memokath™ 045 Bladder Neck before

Foley catheters
Clean intermittent self-catherization (CISC)
Repeated incisions
Repeated dilations

Case examples

Continuous UTIs from self-catheterization

Following radical prostatectomy treatment, a 67-year old is left with bladder neck contracture. Failed dilations and incisions left the patient with self-catheterization is his only choice, but infections and blood in the urine keep occurring. Memokath™ 045 Bladder Neck helped the patient to a much higher quality of life free of infections.
Complicated contracture after TURP

A 73-year is left with a complicated and completely obstructed bladder neck contracture following TURP, which cannot be solved with dilatations or incisions. Memokath™ 045 Bladder Neck was inserted using retrograde and antegrade endoscopy, and finally helped the patient attain spontaneous voiding with discharge the same day.
Weary from catheter-switches

A 68-year old patient unfit for surgical treatment due to use of anticoagulants feels disheartened with the monthly switches of Foley-catheters and experiences a severe effect on his quality of life. After insertion of Memokath™ 045 Bladder Neck the patient’s quality of life is improved by the absence of the regular in-home switches.
Unsuccesful continued incisions

Averse to the dependency on catheters and its ensuing side-effects a 54-year old male receives regular incisions for his traumatic bladder neck obstruction, but with diminishing success. After insertion of Memokath™ 045 Bladder Neck the patient can now suffice with treatment every year, and still avoids catheterization.
Complications from self-catheterization

After three years of self-catheterization due to bladder neck contracture following TURP, a 67-year old experiences prostatitis and increasing blood in his urine. Examination furthermore indicates the onset of urethral scar tissue. Memokath™ 045 Bladder Neck provided the patient spontaneous voiding and helped avoid the constant irritation of his urethra and prostate.

How do I become a Memokath™ 045 Bladder Neck user?

Memokath™ 045 Bladder Neck has treated thousands of patients worldwide and continues to gain popularity among urologists as a treatment of bladder neck stricture. To become a user of Memokath™ 045 Bladder Neck you can request a visit from one of our representatives to initiate a training process or participate in one of our regular training workshops displayed under Events. Either way, our product specialists will assist you with your patients on-location until you feel confident with performing the method on your own.

When is the next Memokath™ 045 Bladder Neck training workshop?

Please look under the Events section for information.

Technical Information

Memokath™ 045 Bladder Neck is available in one version using rigid cystoscope expanding in both ends from from 24 to 42 CH. Memokath™ 045 Bladder neck is available in the following lengths: 0.5, 10, 20, 30, 40, 50, 60 and 70 mm.

Please Contact us to learn more about Memokath™ 045 Bladder neck or request a visit from one of our product specialists.

GLOBAL HEADQUARTERS

Oldenvej 13
DK-3490 Kvistgaard
Phone: +45 4913 9113
Fax: +45 4913 9111
info@pnnmedical.com

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