Bladder neck contracture after radical retropubic prostatectomy
Article first published online: 6 DEC 2004
Volume 94, Issue 9, pages 1245–1247, December 2004
How to Cite
Besarani, D., Amoroso, P. and Kirby, R. (2004), Bladder neck contracture after radical retropubic prostatectomy. BJU International, 94: 1245–1247. doi: 10.1111/j.1464-410X.2004.05151.x
- Issue published online: 6 DEC 2004
- Article first published online: 6 DEC 2004
- Accepted for publication 6 July 2004
- radical prostatectomy;
- bladder neck;
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.
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.
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.