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Bladder neck contracture after radical retropubic prostatectomy
Author(s) -
Besarani Dler,
Amoroso Peter,
Kirby Roger
Publication year - 2004
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2004.05151.x
Subject(s) - medicine , radical retropubic prostatectomy , anastomosis , surgery , prostatectomy , neck of urinary bladder , incidence (geometry) , urethral stricture , urology , urethra , prostate , urinary bladder , physics , cancer , optics
OBJECTIVE To examine the incidence, management and outcome of vesico‐urethral anastomotic strictures after bladder‐neck sparing radical retropubic prostatectomy (RRP). PATIENTS AND METHODS We assessed the incidence, management and outcome of anastomotic strictures in 510 consecutive patients (mean age 61 years, range 45–76) who had open RRP by one surgeon between 1994 and 2003. RESULTS The mean (range) follow‐up was 30 (2–89) months; 48 patients (9.4%) developed an anastomotic stricture. Dilatation of the stricture was an effective treatment, with few patients requiring further treatment. CONCLUSION Stricture of the vesico‐urethral anastomosis after bladder‐neck sparing RRP is relatively frequent but can usually be successfully managed with one graduated dilatation under light sedation.