| ORIGINAL ARTICLE |
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| Year : 2022 | Volume
: 33
| Issue : 3 | Page : 130-135 |
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Assessment of the balloon dilation efficiency in bladder neck contracture after transurethral interventions on the prostate
Shukhrat Anvarovich Abbosov1, Nikolay Ivanovich Sorokin2, Azizbek Bakhodirovich Shomarufov1, Aleksey Viktorovich Kadrev2, Mikheev Konstantin Vitalevich2, Abdukodir Abdukahharovich Fozilov3, Yalkin Saidovich Nadjimitdinov3, Ohobotov Dmitri Alexsandrovich2, Shukhrat Iskandarovich Giyasov3, Shukhrat Tursunovich Mukhtarov3, Farkhad Ataullaevich Akilov3, Armais Albertovich Kamalov2
1 Department of Urology and Andrology, Faculty of Fundamental Medicine, Lomonosov Moscow State University and Medical Scientific and Educational Center of Lomonosov Moscow State University, Moscow, Russia; Republican Specialized Scientific and Practical Medical Center of Urology, Tashkent, Uzbekistan
2 Department of Urology and Andrology, Faculty of Fundamental Medicine, Lomonosov Moscow State University and Medical Scientific and Educational Center of Lomonosov Moscow State University, Moscow, Russia
3 Republican Specialized Scientific and Practical Medical Center of Urology, Tashkent, Uzbekistan
Correspondence Address:
Shukhrat Anvarovich Abbosov
Department of Urology and Andrology, Faculty of Fundamental Medicine, Lomonosov Moscow State University, Moscow
 Source of Support: None, Conflict of Interest: None  | 1 |
DOI: 10.4103/UROS.UROS_148_21
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Purpose: The aim was to assess the results of balloon dilation in patients with bladder neck contracture (BNC) after endoscopic surgery for benign prostatic hyperplasia (BPH). Materials and Methods: The study involved 120 patients with recurrent BNC after transurethral interventions for BPH. All patients underwent transurethral resection (TUR) of the bladder neck and were divided into two groups: Group A (n = 45) included men who, after TUR, additionally underwent repeated balloon dilation, whereas the control group B (n = 75) included men who were treated with alpha-blockers alone. Results: In 9 months after TUR and 3 months after the 4th balloon dilation procedure in Group A, the mean international prostate symptom score (IPSS) decreased from 20.1 ± 8.4 to 17.2 ± 7.4, and the IPSS-quality of life was 4.2 ± 1.2 (P > 0.05). In Group B, they were 21.7 ± 7.7 and 4.7 ± 1.1 (P > 0.05), respectively. In addition, the mean flow rate in Group A was 13.2 ± 5.4 ml/s, whereas in Group B, it was 8.7 ± 4.9 ml/s (P < 0.05). There was a significant decrease in the postvoid residual urine volume from 76.2 ± 96.1 ml to 37.6 ± 55.1 ml in Group A, whereas, in Group B, it increased from 63.0 ± 36.9 ml to 79.4 ± 71.6 ml (P > 0.05). Furthermore, 28.0% of patients of Group B and 13.3% of patients of Group A underwent repeated TUR of the bladder neck in 9 months follow-up period (P < 0.05). Conclusion: Balloon dilation is a safe less invasive procedure and can reduce the possibility of BNC recurrence and thus the rate of repeated transurethral interventions.
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