Transurethral balloon dilatation of the prostate: early experience

Cho, Kwang Hoon; Nam, Sam Keuk

Abstract

Transurethral balloon dilatation using specially designed catheters has been introduced in recent years. We applied endoscopically a high pressure, large diameter balloon dilator to 19 patients with benign prostatic hypertrophy who had high risk to an anesthesia. The patients were followed with clinical evaluation and urine flow rate. Clinical evaluation at 1 month showed normal voiding in 14 (74%) of 19 patients without symptom and signs. In 14 patients (74%) urinary peak flow rates varied between 10 and 20cc per second, and in the remaining they were less than l0cc per second. Gross hematuria occurred in 5 patients (26% ), but it was improved within 48 hours. The numbers of patients with 3 months, 6 months and 9 months follow-up were not so many, but their results were similar to those of 1 month follow-up. We believe that balloon dilatation of the prostate is a safe and simple technique for the patient of benign prostatic hypertrophy who is not allowed prostatectomy.