Treatment of urethral strictures with balloon dilation: A forgotten tale

  • Konstantinos Stamatiou Urology Department, General Hospital "Tzanio", Piraeus, Greece.
  • Georgios Christopoulos | drchristog@gmail.com Urology Department, General Hospital "Tzanio", Piraeus, Greece.
  • Hippocrates Moschouris Radiology & Interventional Radiology Department, General Hospital "Tzanio", Piraeus, Greece.
  • Dimitrios Zavradinos Urology Department, General Hospital "Tzanio", Piraeus, Greece.
  • Michalis Kiltenis Radiology & Interventional Radiology Department, General Hospital "Tzanio", Piraeus, Greece.
  • Athanasios Marinis Urology Department, General Hospital "Tzanio", Piraeus, Greece.

Abstract

Urethral stricture is a common condition that can lead to serious complications such as urinary infections and renal insufficiency secondary to urinary retention. Treatment options include catheterization and dilation, urethroplasty and endoscopic internal urethrotomy as well. Although treatment option depends on the type, length and aetiology of stricture, the choice can be influenced to varying degrees by the simplicity of the method, the preferences of the patient the available accoutrements and the patient health condition. Both urethroplasty and endoscopic internal urethrotomy require anaesthesia and thus are not suitable for many elder and unfit for surgical treatment patients. On the other hand, dilations are easy to perform in every day clinical practice however they have been associated with iatrogenic urethral trauma. In contrast, balloon dilation under vision dilates by radial application of forces against the stricture, avoiding the potentially shearing forces associated with sequential rigid dilation. Since it reduces the possibility of an iatrogenic urethral trauma and the subsequent spongiofibrosis may lead into improved therapeutic outcomes. In this report we describe a technique for the treatment of urethral strictures with balloon dilation in elder and unfit for surgical treatment patients.

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Published
2015-09-30
Info
Issue
Section
Case Reports - Incontinence & Urodynamics
Keywords:
Urethral stricture, Balloon dilation
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How to Cite
Stamatiou, K., Christopoulos, G., Moschouris, H., Zavradinos, D., Kiltenis, M., & Marinis, A. (2015). Treatment of urethral strictures with balloon dilation: A forgotten tale. Archivio Italiano Di Urologia E Andrologia, 87(3), 254-255. https://doi.org/10.4081/aiua.2015.3.254