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Urethral Balloon Dilatation: Factors Affecting Outcomes
- Source :
- Urologia Internationalis. 96:427-431
- Publication Year :
- 2016
- Publisher :
- S. Karger AG, 2016.
-
Abstract
- Background/Aims/Objectives: The study aims to review our experience with balloon dilatation of urethral strictures and retrospectively analyze predictors of improved success rates. Methods: One hundred and forty-four cases were analyzed from January 2011 to December 2012. Patients underwent balloon dilatation using 6-Fr Balloon dilator set (Cook Urological, Spencer, Ind., USA). Patients analyzed with respect to demography, uroflowmetry (Qmax) and need for auxiliary procedures in the immediate postoperative period, at 6 months and at 1 year. Comparisons were made between those who performed self-calibration against those who did not. Results: Overall success rate of balloon dilatation in our study was 84.4%. Procedural failure was observed with 3 patients (2.1%). Auxiliary procedure was required in 21 cases (15.6%) during follow-up. The mean Qmax (ml/s) in those who regularly performed self-calibration (n = 73) and in those who did not perform self-calibration (n = 39) in the immediate postoperative period, at 6 months and at 1 year were 24.2 ± 10.5, 16.5 ± 7.5, 14.4 ± 6.3 and 21.2 ± 10.6, 14.5 ± 7, 10.8 ± 5.6, respectively. Statistical significance was noted at 1 year (p = 0.003). Lesser re-treatments were required in those who performed self-calibration (12.3 vs. 20.5%). Improved success rates were noted with focal and bulbar strictures. Iatrogenic strictures and pan-anterior urethral strictures had poor outcomes despite self-calibration. Conclusions: Balloon dilation with self-calibration significantly improves flow rates at 1 year and lessens auxiliary procedures required. It is simple, easy to perform under local anesthesia and repeatable in case of re-strictures.
- Subjects :
- Adult
medicine.medical_specialty
Adolescent
040301 veterinary sciences
Urethral stricture
Urology
medicine.medical_treatment
030232 urology & nephrology
Balloon
Urinary catheterization
0403 veterinary science
Young Adult
03 medical and health sciences
0302 clinical medicine
Statistical significance
medicine
Humans
Local anesthesia
Aged
Retrospective Studies
Aged, 80 and over
Urethral Stricture
business.industry
Retrospective cohort study
Equipment Design
04 agricultural and veterinary sciences
Middle Aged
medicine.disease
Dilatation
Surgery
Treatment Outcome
Dilator
Balloon dilation
Urinary Catheterization
business
Subjects
Details
- ISSN :
- 14230399 and 00421138
- Volume :
- 96
- Database :
- OpenAIRE
- Journal :
- Urologia Internationalis
- Accession number :
- edsair.doi.dedup.....8d53e9240b55a36d93719ba9f7cb3734