Buzh-Puncher

The bougie perforator is a unique instrument that is used in urology and allows you to eliminate stenosis (obstruction) of the urinary tract to further restore the outflow of urine. The curved metal bougie has a knife that extends to a predetermined length and can be used to tunnel a stricture

Bougie and bougie perforators: how to choose and use correctly?

Bougies are special instruments that are used to dilate the urethra (urethra) for various urological diseases. These medical devices are mainly designed for tunneling. For example, such a bougie is used by doctors working in the field of gynecology or urology. Bougies come in different shapes: round, cylindrical, conical. It is important to be able to choose them correctly.

If we are talking about a baby bougie, then when choosing, it is very important to measure the size of the urethra. The smaller the diameter of the tool, the more careful you need to be when using it. The bougie should not cause pain, but only widen the area.

The simplest and most convenient tool is a straight round bougie. If the doctor chooses one with a pointed end, he will need an assistant to provide counteraction. It must be remembered that a straight bougie may be too wide for the urethra, this is fraught with injuries to the mucous membrane. But a pointed device contributes to less tissue damage.

The next point is choosing the size. The medical examiner must know the configuration of the patient's urethral tissue. The norm is 5-15 mm in diameter; there should be no problems here. If the diameter is less than 5 mm, often the use of bougies is simply useless; you can immediately proceed to urethroplasty. Because it is impossible to expand the urethra the size of a children's catheter.

A ring bougie is a device that is often used for diseases of the genitourinary system in women. The device expands the neck of the bladder, so it is made in the shape of a ring. It is chosen individually, based on the anatomical characteristics of the woman. To select the bougie correctly, it is immersed in the bladder a few centimeters, then removed from there and the diameter is measured. Next, choose a product number such that the difference to the norm is no more than 0.5 cm. Otherwise, there is a danger of damage to the patient’s mucous membranes and internal organs.

It is very important to correctly assess the depth of the stricture in case of illness in the urological field. The higher the part of the stricture, the less the bougie is able to pass, because it has a rigid shaft and the rubber gradually stretches. It does not go too close to the stricture area. The depth and degree of stretching must correspond to each other, otherwise the doctor