Implantable biocompatible expander suitable for treatment of constrictions of body lumen
An implantable biocompatible expander suitable for implantation into a urinary duct, comprises an elongated sinusoidal ring comprising at least two proximal prongs and at least two distal prongs, wherein the expander is resiliently deformable from a relaxed radially expanded orientation to a radially contracted orientation suitable for transluminal delivery through the urinary duct. The expander is configured to exert an outward radial force against a wall of the urinary duct when in-situ within the urinary duct. In particular, the expander is suitable for treatment of benign prostatic hyperplasia and configured for implantation into the prostatic urethra between, and substantially spanning the prostatic urethra between, the bladder neck and external sphincter.
1. A method of treating benign prostatic hyperplasia in a mammal, which method employs an implantable biocompatible expander configured for resilient deformation and self-expansion from a radially contracted orientation suitable for transluminal delivery through a urinary duct to a radially expanded orientation capable of effecting in-situ dilation of the prostatic urethra, wherein the expander is configured to fit within the prostatic urethra between the bladder neck and the external sphincter and span at least 50% of the length of the prostatic urethra between the bladder neck and external sphincter, the method comprising the steps of implanting the expander into the prostatic urethra at a target location between the bladder neck and the external sphincter, whereby the expander in the radially expanded orientation effects in-situ dilation of the prostatic urethra between the bladder neck and the external sphincter without blocking the verumontanum, in which the implantable biocompatible expander is formed from a single elongated undulating ring, in which the single elongated undulating ring has three distal prongs and three proximal prongs providing a triangular cross-section that matches lateral triangular recesses of the urethra, allowing for differential flexing of the expander during use.
2. A method according to claim 1 , and comprising the steps of:
delivering the expander in a radially contracted orientation through the urethra to the target location within the prostatic urethra between the bladder neck and the external sphincter; and
allowing the expander to expand at the target location to a radially expanded orientation against the wall of the prostatic urethra with its proximal three prongs sitting anatomically in the triangularly shaped distal urethra.
3. A method according to claim 1 , in which the expander is configured to anatomically conform to the lumen of the prostatic urethra.
4. A method according to claim 1 , in which the length of the single elongated undulating ring is at least 10% greater than the width of the single elongated undulating ring when in a relaxed expanded state.
5. A method according to claim 1 , in which the single elongated undulating ring is a sinusoidal ring.