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Bladder Neck Contracture After Endoscopic Surgery for Benign Prostatic Obstruction: Incidence, Treatment, and Outcomes

  • Benign Prostatic Hyperplasia (K McVary, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

In recent years, new endoscopic techniques have been developed to reduce the morbidity of transurethral resection of the prostate. Nonetheless, complications are still frequently encountered and bladder neck contracture (BNC) is a well-described complication after endoscopic surgery for benign prostatic obstruction (BPO). Our aim is to review and discuss the contemporary incidence, the relevant treatment strategies, and their outcomes.

Recent Findings

Findings suggest that BNC is a common complication with an acceptably low incidence but can range in complexity. Most contractures were usually managed successfully with conservative measures; nevertheless, in patients with refractory BNC, various valuable management strategies were employed with different kinds of success and re-treatment rates.

Summary

In consideration of these challenging possibilities, the treatment of BNC requires a tailored approach with patient-specific management that can range from simple procedures to complex surgical reconstruction.

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Acknowledgments

The authors thank Kimberlee Ann Manzi for the linguistic revision.

Author information

Author notes

  1. Giulia Primiceri and Pietro Castellan contributed equally to this manuscript.

Authors and Affiliations

  1. Department of Urology, University G. D’Annunzio, Chieti, Italy

    Giulia Primiceri & Michele Marchioni

  2. Department of Urology, ASL02 Abruzzo, Via dei Vestini, 66100, Chieti, Italy

    Pietro Castellan, Luigi Schips & Luca Cindolo

Authors
  1. Giulia Primiceri
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  2. Pietro Castellan
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  3. Michele Marchioni
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  4. Luigi Schips
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  5. Luca Cindolo
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Corresponding author

Correspondence to Pietro Castellan.

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Conflict of Interest

Giulia Primiceri, Pietro Castellan, Michele Marchioni, Luigi Schips, and Luca Cindolo each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Benign Prostatic Hyperplasia

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Primiceri, G., Castellan, P., Marchioni, M. et al. Bladder Neck Contracture After Endoscopic Surgery for Benign Prostatic Obstruction: Incidence, Treatment, and Outcomes. Curr Urol Rep 18, 79 (2017). https://doi.org/10.1007/s11934-017-0723-6

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  • DOI: https://doi.org/10.1007/s11934-017-0723-6

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