Robotic-assisted Y-V plasty for obliterative bladder neck contracture following transurethral resection of prostate

Bladder neck contracture (BNC) is a recognized complication after transurethral resection of prostate (TURP) (0.5%-10%). While endoscopic treatment is first-line, obliterative BNC not amenable to guidewire passage often recurs. We report a 66-year-old male with BNC 1 year after TURP, initially managed with suprapubic cystostomy (SPC). As the contracture was complete, robotic-assisted Y-V plasty was performed. The bladder was mobilised, fibrotic tissue excised, and a vascularised anterior flap was advanced under cystoscopic and indocyanine green guidance. Recovery was uneventful. At 1 year, the patient had Qma × 22 mL/s, minimal residual urine, and full continence. Robotic Y-V plasty offers a durable, single-stage solution for refractory obliterative BNC.