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Recurrent vesicourethral anastomotic stenosis following treatment for prostate cancer: an effective endoscopic treatment using bipolar plasma button and triamcinolone

  • Urology - Original Paper
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Abstract

Purpose

To evaluate the efficacy of deep bladder neck incision plus adjuvant Triamcinolone in the treatment of recurrent vesicourethral anastomotic stenosis following surgical treatment for prostate cancer.

Materials and methods

A retrospective review of patients undergoing bladder neck incision from 2013 to 2019 was conducted. Patients who had previously undergone surgical treatment for prostate cancer and had failed treatment for bladder neck contracture were included.

Results

Twenty patients underwent deep bladder neck incision (BNI) with plasma button and adjuvant injection with a patency rate of 85%. Complete obliteration portended worst prognosis with 100% recurrence.

Conclusions

Deep BNI with triamcinolone is a minimally morbid alternative for treatment of refractory vesicourethral anastomotic contractures.

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Funding

No funding was sought nor obtained for the purpose of completing this project.

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Authors and Affiliations

  1. Department of Urology, MedStar Georgetown, Washington, DC, USA

    Nathan M. Shaw, Shawn Marhamati, Rachael Sussman & Krishnan Venkatesan

  2. Georgetown University School of Medicine, Washington, DC, USA

    Alexander Friedman

  3. Department of Urology, MedStar Washington Hospital Center, 110 Irving St POB 3rd Floor, Washington, DC, 20010, USA

    Krishnan Venkatesan

Authors
  1. Nathan M. Shaw
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  2. Shawn Marhamati
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  3. Alexander Friedman
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  4. Rachael Sussman
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  5. Krishnan Venkatesan
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Corresponding author

Correspondence to Krishnan Venkatesan.

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All authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. No animals were included in this study.

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Informed consent was obtained from all individual participants prior to undergoing study procedure.

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Shaw, N.M., Marhamati, S., Friedman, A. et al. Recurrent vesicourethral anastomotic stenosis following treatment for prostate cancer: an effective endoscopic treatment using bipolar plasma button and triamcinolone. Int Urol Nephrol 54, 1001–1008 (2022). https://doi.org/10.1007/s11255-022-03153-0

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  • DOI: https://doi.org/10.1007/s11255-022-03153-0

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