Methods and devices for urethral treatment
A dilation device for an intrabody lumen, for example, a urethra partially occluded by an enlarged prostate in the form of a curved element configured to be implanted around the lumen and add resilience to the lumen, and a method for dilating such a lumen by implanting a dilation device around the outside of the lumen with at least part of the dilation device embedded in surrounding, thereby preventing clinically significant compression of the lumen. Also, an implantation device for such a dilation device in the form of a mounting device configured to carry the dilation device; and a releasably attached movable holder, with the mounting device and holder configured to deliver the dilation device though a working channel to a desired position in a lumen, and to implant the dilation device through a wall of the lumen to a position surrounding the lumen.
1. A method for dilating a urethra using a dilation device and a delivery system comprising a balloon, the method comprising:
a. loading said dilation device in a helix configuration on said delivery system;
b. inserting said delivery system into said urethra;
c. expanding said balloon thereby expanding said urethra and radially expanding said dilation device from said helix configuration to a C-shape arc configuration;
d. implanting said dilation device in C-shape in a tissue of said urethra from outside the balloon, within an area of the urethra around the balloon, while the area of the urethra is expanded by the balloon.
2. The method of claim 1 , wherein the dilation device is installed transurethrally.
3. The method of claim 1 , wherein the dilation device is implanted by being pushed into the tissue of the prostate.
4. The method of claim 1 , wherein the dilation device is implanted by being advanced into the tissue of the prostate using an overtube.
5. The method of claim 1 , further comprising expanding or allowing the expansion of the dilation device post-implantation.
6. The method of claim 1 , wherein the dilation device is in the form of one or more separate arcuate-shaped sections.
7. The method of claim 1 , wherein the dilation device is formed of a material which expands outwardly around the urethra during and/or after implantation.
8. The method of claim 1 , comprising shaping the urethra using the balloon prior to or during said implanting.
9. The method of claim 8 , comprising not rotating said balloon during said implanting.
10. The method of claim 1 , comprising selecting said dilation device length and position to not interfere with an inner bladder valve.
11. The method of claim 1 , wherein said dilation device provides clearance between the enlarged prostate and a lumen of the urethra, and prevents recompression of the urethra due to further enlargement of the prostate.
12. The method according to claim 1 , wherein the dilation device has a substantially flat cross-section.
13. The method according to claim 1 , wherein upon implantation, no more than or about 30% by angle of the constricted portion of the urethra is not surrounded.
14. The method according to claim 13 , wherein the portion of the urethra that is not surrounded is at the bottom of the urethra.
15. The method according to claim 1 , further including delivering the dilation device through the urethra for implantation in a compressed transverse-dimension configuration and expanding it for implantation.
16. The method according to claim 15 , wherein the dilation device is formed of a plastically deformable material and is expanded by inflation of the balloon comprised in a delivery device.
17. The method according to claim 15 , wherein the dilation device is formed of an elastically deformable material and is expanded by release from a mounting device comprised in a delivery device.