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Keywords:

  • radical prostatectomy;
  • stricture;
  • bladder neck;
  • dilatation

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.