Transurethral columnar balloon dilation: the mechanism explained.
A non-implant, non-thermal BPH MIST. Triple-Balloon Columnar Catheter performs controlled dilation of the prostatic urethra, achieving mechanical relief of obstruction.
What is TUCBDP?
TUCBDP — Transurethral Columnar Balloon Dilation Procedure — a category III medical device indicated for LUTS caused by BPH. It uses a proprietary Triple-Balloon Columnar Catheter.
Positioning (distal)
Intravesical anchoring prevents displacement during dilation.
Columnar dilation (middle)
Uniformly expands full length of prostatic urethra.
Anchoring (proximal)
Stabilizes near the external urethral meatus.
Procedure steps
- Cystoscopic confirmation of prostatic urethra
- Triple-Balloon catheter inserted; positioning balloon inflated
- Dilation balloon inflated at prostatic segment to preset pressure
- Maintained 5-10 minutes
- Sequential deflation; catheter withdrawn
- Indwelling catheter placed (2–3 days)
vs other MIST modalities
TUCBDP represents the second-generation evolution of balloon dilation: columnar triple-balloon design with precise positioning and uniform expansion.
| Parameter | TUCBDP | UroLift | Rezūm | HoLEP |
|---|---|---|---|---|
| Mechanism | Structural dilation | Implant retraction | Thermal steam | Laser resection |
| Implant | None | Yes | None | None |
| Thermal | None | None | Yes | Yes |
| Ejaculation | High | High | Medium | Low |
| Local anesthesia | Yes | Yes | Sedation | General/spinal |
| Equipment req. | Low | Medium | High | High |
Clinical data
| Metric | Baseline | 12 months | Change |
|---|---|---|---|
| IPSS | 20.2 ± 4.4 | 6.6 ± 1.1 | 67% ↓ |
| Qmax (ml/s) | 8.91 ± 3.13 | 18.11 | +103% |
| PVR (ml) | 76 ± 8 | 20 ± 8.5 | 74% ↓ |
| QoL | 4.6 ± 0.2 | 1.4 ± 0.3 | 70% ↓ |
| Ejaculation | — | 95.6% | RE 4.45% |
| Complications | — | 4.29% | vs TURP 12.86% |
N=342 multicenter study. Gen 2 in progress.
Technical specifications
Indications and contraindications
Indications
- IPSS ≥ 12
- Medication ineffective
- Small prostate (≤40 mL) — preferred MIST
- Post-TURP BNC (strong recommendation)
- Preserve ejaculation
- Unsuitable for GA
Contraindications
- Prostate cancer
- Urethral stricture
- Active UTI
Continue exploring
This page is for medical information reference only. TUCBDP indications must be evaluated by a licensed physician.