Management Strategies for Post-Prostatectomy Bladder Neck Contractures
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Patients who develop bladder neck contracture (BNC) after surgical treatment for prostate cancer often present with progressive lower urinary tract symptoms. Multiple risk factors contribute to BNC development including patient-related factors and technical considerations at the time of surgery. Initial management begins with endoscopic therapies, including dilation, transurethral incision (TUIBNC), and injection of adjunctive agents. When BNC remains refractory to these therapies, surgical reconstruction of the vesicourethral anastomosis or urinary diversion can be considered in select cases. This review presents an outline of the management of BNC after radical prostatectomy (RP), highlighting the recent literature related to the subject.
KeywordsBladder neck contracture Transurethral incision of bladder neck contracture Radical prostatectomy Urinary incontinence Mitomycin C Revision of vesicourethral anastomosis
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Conflict of Interest
Robert Caleb Kovell and Ryan Patrick Terlecki each declare no potential conflicts of interest.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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