Management of recalcitrant urethral strictures with self-dilatation balloon catheter

Ir J Med Sci. 2013 Jun;182(2):227-30. doi: 10.1007/s11845-012-0866-x. Epub 2012 Nov 27.

Abstract

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.

MeSH terms

  • Aged
  • Dilatation
  • Equipment Design
  • Humans
  • Intermittent Urethral Catheterization* / adverse effects
  • Male
  • Middle Aged
  • Secondary Prevention
  • Self Care*
  • Urethral Stricture / therapy*
  • Urinary Catheters