The permanent Urolume((TM)) Wallstent has been used for the relief of
bladder outlet obstruction (BOO), detrusor-external sphincter dyssnerg
ia (DESD), and recurrent bulbar urethral strictures, Because of its wo
ven construction, it allows ingrowth of urothelial tissue, resulting i
n complete epithelialization by 6 to 12 months, Certain risk factors a
re associated with poor epithelialization that may lead to hyperplasti
c tissue growth and occlusion of the urethral lumen. We review the lit
erature and discuss the 5-year results of the North American Multicent
er Urolume((TM)) Trial with regard to epithelialization, hyperplastic
tissue growth, and treatment of hyperplastic growth.