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Bladder neck contractures and the prostate cancer survivor
Joseph S Song1, Jairam R Eswara, Steven B Brandes
1Barnes Jewish Hospital, Washington University, St. Louis, Missouri, USA.
Current Opinion in Urology
|June 6, 2014
Summary
Bladder neck contractures (BNCs) are decreasing due to surgical advancements, but risk factors like smoking persist. Treatment strategies for BNCs are unclear, necessitating a hierarchical approach to minimize incontinence.
Area of Science:
- Urology
- Oncology
- Surgical Innovation
Background:
- Bladder neck contractures (BNCs) are a potential complication following prostate cancer treatment.
- Understanding the evolving landscape of BNCs is crucial for managing prostate cancer survivors.
Purpose of the Study:
- To review the causes, diagnosis, and treatment of bladder neck contractures (BNCs) in prostate cancer survivors.
- To summarize current understanding and identify areas of uncertainty in BNC management.
Main Methods:
- Literature review focusing on BNCs in prostate cancer patients.
- Analysis of trends in BNC incidence and contributing factors.
- Evaluation of diagnostic and therapeutic strategies.
Main Results:
- Bladder neck contracture (BNC) rates have declined significantly due to improved surgical techniques, including robotic and laparoscopic approaches.
- Smoking and coronary artery disease remain risk factors for BNC development.
- Minimally invasive treatments may be enhanced by injectable agents, and classical anastomotic principles should be maintained.
Conclusions:
- Consensus on optimal BNC therapy is lacking, and risk reduction strategies remain unclear.
- While risk factors are identified, clear preventative measures are not established.
- A structured, hierarchical treatment approach is recommended for BNCs to minimize urinary incontinence risk.
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