Dilatation of a urethral stenosis by the Optilume dilatation balloon
This innovative treatment combines proprietary balloon dilatation and drug delivery technology to reduce recurrence of urethral stricture. This is a new treatment alternative for recurrent urethral stenosis following conventional treatment failure. The balloon seems to be a good compromise; in fact, this treatment offers better success rates than conventional balloon dilatation and is less invasive than urethroplasty, which is the plastic-surgical reconstruction of the urethra.
What is a urethral dilatation by Optilume?
Patient follow-up results show that after one year, 3 out of 4 patients who received Optilume treatment had no stenosis. These men, who had failed previous endoscopic treatments, had a 290% improvement in urinary output, an 80% reduction in symptoms, and no serious complications.
What is Paclitaxel?
It has a potential for long-term relief.
How does Optilume urethral dilatation work?
By combining simple and effective balloon dilatation with localized delivery of a proven antiproliferative, Optilume aims to provide long-term relief from stenosis recurrence.
How does Optilume Urethral Dilatation Work?
Sterile fields are set up and a flexible cystoscope is introduced inside the urethra to visualize the stenosis.
A hypophyllic guide is introduced and a part is wrapped in the bladder. The dilatation balloon is slid on the guide and is placed properly under direct vision. The balloon is then inflated to 10 atmospheres and is kept inflated for 5 minutes. The balloon is then removed. Lastly, a urinary catheter is introduced in the bladder and a drainage bag is attached to the thigh.
What are the benefits of Optilume urethral dilatation?
- Lower risk of recurring urethral stenosis.
- Minimally invasive.
- Compatible with flexible cystoscope for maximum patient comfort.
- Dynamic balloon compliance provides optimal expansion for urology applications.
- Tapered tip of the tip is non-traumatic and moves easily over the guide wire.
What are the possible complications of Optilume urethral dilatation?
- Urinary tract infection is the most common complication.
- Bleeding by the urethra called urethrorrhagia. Should it be prolonged or if it is associated with pelvic pain or difficulty in evacuating urine due to clots, contact Dr. Marois’ nurses.
- Hematoma and "swelling" of the genitals can occur (rare).
- Improving urinary disorders can take several weeks to appear.
Sean P. Elliott, Karl Coutinho, Kaiser J. Robertson et al. One-Year Results for the ROBUST III Randomized Controlled Trial Evaluating the Optilume Drug-Coated Balloon for Anterior Urethral Strictures. Journal of Urology, Vol. 207, 1, April 2022.