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Updated: May 16, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Management of recalcitrant urethral strictures with self-dilatation balloon catheter
D B Hennessey1, A Z Thomas, J C Forde
1Department of Urological Surgery, St. James Hospital, James Street, Dublin 8, Ireland. derek.hennessey@gmail.com
Introduction:
Urethral strictures constitute a significant clinical problem that often requires long-term management.
Objective:
To report the long-term outcomes of adjuvant home self-urethral dilatation of recurrent urethral strictures using a balloon catheter.
Materials And Methods:
Male patients (N = 11), performing self-dilatation with a balloon catheter (minimum 24 months) were assessed by patient-reported outcome measures (PROMs) health questionnaire specific for post treatment assessment of men with urethral stricture disease.
Results:
Median duration of balloon catheter use is 46.5 months, IQR (24-150). Patients performed self-balloon dilatation on average 1.4 times a week, median 1, IQR (1-2) to maintain the patency of their urethra. The mean PROMs LUTS score of the patients was 2.45, median 2, IQR (1-4). The median and mean Peeling score was 2 IQR (1-2). 100 % patient reported that they either very satisfied or satisfied with the overall outcome and QoL.
Conclusions:
Our initial experience of outpatient self-dilatation with a balloon dilatation is encouraging and is an acceptable inexpensive and simple treatment for patient maintains urethral patency and potentially decreases stricture recurrence.
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