Balloon dilatation of urethral strictures

Area of Science:

• Urology
• Minimally Invasive Surgery

Background:

• Urethral strictures, often post-inflammatory or post-traumatic, can cause significant voiding dysfunction.
• Conventional dilatation with metal sounds may yield unsatisfactory results for some patients.

Purpose of the Study:

• To evaluate the efficacy and safety of balloon dilatation for treating urethral strictures and vesical neck contractures.
• To present an alternative treatment option for patients with refractory urethral strictures.

Main Methods:

• Nine male patients with urethral strictures underwent balloon dilatation.
• A flexible endoscope facilitated guide wire passage.
• Fluoroscopic guidance ensured accurate balloon positioning and complete urethral dilatation.

Main Results:

• Successful balloon dilatation was achieved in all 9 patients.
• The procedure allowed for dilation up to 36F.
• The method was performed with minimal discomfort and was relatively atraumatic.

Conclusions:

• Balloon dilatation is an effective and safe treatment for male urethral strictures and vesical neck contractures.
• It is indicated for patients who have not responded well to conventional dilatation methods.
• This technique offers a minimally invasive approach with good patient tolerance.