Related Experiment Video
Updated: May 3, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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.
Purpose Of Review:
This narrative review aims to summarize the most relevant literature published in 2024-2025 regarding the management of vesicourethral anastomotic stenosis (VUAS) and bladder neck contracture (BNC) after treatment of the prostate.
Recent Findings:
We identified relevant articles focusing on novel treatment options regarding the management of VUAS and BNC, emphasizing patency rates and continence trade-offs.
Summary:
Vesicourethral anastomotic stenosis and bladder neck contracture represent distinct postoperative complications following radical prostatectomy and benign prostatic hyperplasia surgery, respectively. Endoscopic therapy continues to serve as first-line treatment, though reported success rates vary substantially across modalities. Emerging minimally invasive endoluminal techniques, such as transurethral incision with transverse mucosal realignment and drug-coated balloon dilation demonstrate promising early outcomes. For recalcitrant disease, reconstructive solutions including transperineal reanastomosis, buccal mucosal graft urethroplasty, and a growing spectrum of robot-assisted approaches offer encouraging patency rates with variable impacts on continence.
