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Bladder neck contracture after surgery for benign prostatic obstruction.

Luca Cindolo1, Michele Marchioni2, Esteban Emiliani3

  • 1Robotic Unit, Department of Urology, ASL Abruzzo 2, SS. Annunziata Hospital, Chieti, Italy - lucacindolo@virgilio.it.

Minerva Urologica E Nefrologica = the Italian Journal of Urology and Nephrology
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PubMed
Summary
This summary is machine-generated.

Bladder neck contracture (BNC) is a challenging complication after surgery for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). Incidence varies, and treatment choice is best left to surgeon expertise.

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Area of Science:

  • Urology
  • Surgical Complications
  • Benign Prostatic Hyperplasia Management

Background:

  • Numerous surgical procedures exist for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH).
  • Bladder neck contracture (BNC) is a common, challenging post-operative complication across these treatments.
  • Current knowledge on managing secondary BNC requires evaluation.

Purpose of the Study:

  • To review and evaluate published data on the incidence, prevalence, and management of BNC.
  • To synthesize current understanding of BNC as a post-surgical complication of LUTS/BPH treatment.

Main Methods:

  • A systematic literature search of MEDLINE/PubMed was conducted for studies from 2000-2016.
  • Included studies focused on BNC incidence, prevalence, and management post-LUTS/BPH surgery.
  • Both prospective and retrospective studies were considered due to limited prospective data.

Main Results:

  • Thirty-four studies were included, exhibiting significant heterogeneity in patient cohorts, surgical techniques, and follow-up.
  • Reported incidence of BNC post-LUTS/BPH surgery ranged from 0% to 9.6%.
  • The quality of evidence was limited, hindering definitive conclusions on optimal management.

Conclusions:

  • Bladder neck contracture (BNC) incidence following LUTS/BPH surgery shows considerable variability.
  • Few preventative measures are established for BNC.
  • Treatment of BNC remains challenging, with the choice of technique best determined by the operating surgeon.