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Post-prostate-treatment stenosis and bladder neck contracture: reconstructive options and continence trade-offs
Steffi Fauconnier1, Marjan Waterloos, Wesley Verla
1Department of Urology, Maria Middelares, Gent, Belgium.
Current Opinion in Urology
|May 2, 2026
Summary
Vesicourethral anastomotic stenosis (VUAS) and bladder neck contracture (BNC) are distinct complications after prostate treatment. Endoscopic therapy is first-line, with emerging minimally invasive and reconstructive options showing promise for improved outcomes.
Area of Science:
- Urology
- Surgical Innovation
- Postoperative Complications
Background:
- Vesicourethral anastomotic stenosis (VUAS) and bladder neck contracture (BNC) are recognized complications following prostate surgery.
- Management strategies for these conditions are continuously evolving.
Purpose of the Study:
- To review the latest literature (2024-2025) on managing VUAS and BNC.
- To highlight novel treatment approaches and their efficacy.
Main Methods:
- Narrative review of recent publications.
- Focus on studies detailing management of VUAS and BNC post-prostate treatment.
Main Results:
- Endoscopic therapy remains a primary treatment modality.
- Minimally invasive techniques like transurethral incision and drug-coated balloons show early promise.
- Reconstructive surgeries, including robotic-assisted procedures, offer solutions for refractory cases.
Conclusions:
- VUAS and BNC require distinct management approaches based on their etiology.
- While endoscopic treatments are standard, emerging techniques and reconstructive options provide alternatives with varying success rates and impacts on continence.
