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Management Strategies for Post-Prostatectomy Bladder Neck Contractures.
Robert Caleb Kovell1, Ryan Patrick Terlecki
1Department of Urology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA, rkovell@wakehealth.edu.
Current Urology Reports
|July 31, 2015
Summary
Bladder neck contracture (BNC) after prostate cancer surgery causes urinary symptoms. Management ranges from endoscopic therapies to surgical reconstruction for refractory cases.
Area of Science:
- Urology
- Oncology
- Surgical Science
Background:
- Bladder neck contracture (BNC) is a complication following radical prostatectomy (RP).
- BNC presents as progressive lower urinary tract symptoms.
- Risk factors include patient-related issues and surgical technique.
Purpose of the Study:
- To review the management strategies for BNC after RP.
- To highlight recent literature on BNC treatment.
Main Methods:
- Review of current literature on BNC management post-RP.
- Outline of therapeutic options from conservative to surgical.
Main Results:
- Initial management involves endoscopic therapies like dilation, transurethral incision of bladder neck (TUIBNC), and adjunctive agent injections.
- Refractory BNC cases may require surgical reconstruction or urinary diversion.
Conclusions:
- BNC management requires a stepwise approach.
- Surgical reconstruction or diversion are options for treatment-resistant BNC.
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