Recurrent vesicourethral anastomotic stenosis following treatment for prostate cancer: an effective endoscopic treatment using bipolar plasma button and triamcinolone.
Citation: International Urology & Nephrology. 54(5):1001-1008, 2022 May.PMID: 35235110Institution: MedStar Washington Hospital CenterDepartment: UrologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Contracture | *Prostatic Neoplasms | *Urinary Bladder Neck Obstruction | Anastomosis, Surgical/ae [Adverse Effects] | Constriction, Pathologic/et [Etiology] | Constriction, Pathologic/su [Surgery] | Contracture/su [Surgery] | Humans | Male | Neoplasm Recurrence, Local/su [Surgery] | Prostatectomy | Prostatic Neoplasms/su [Surgery] | Retrospective Studies | Triamcinolone/tu [Therapeutic Use] | Urinary Bladder Neck Obstruction/et [Etiology] | Urinary Bladder Neck Obstruction/su [Surgery]Year: 2022ISSN:- 0301-1623
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 35235110 | Available | 35235110 |
CONCLUSIONS: Deep BNI with triamcinolone is a minimally morbid alternative for treatment of refractory vesicourethral anastomotic contractures. Copyright ♭ 2022. The Author(s), under exclusive licence to Springer Nature B.V.
MATERIALS AND METHODS: A retrospective review of patients undergoing bladder neck incision from 2013 to 2019 was conducted. Patients who had previously undergone surgical treatment for prostate cancer and had failed treatment for bladder neck contracture were included.
PURPOSE: To evaluate the efficacy of deep bladder neck incision plus adjuvant Triamcinolone in the treatment of recurrent vesicourethral anastomotic stenosis following surgical treatment for prostate cancer.
RESULTS: Twenty patients underwent deep bladder neck incision (BNI) with plasma button and adjuvant injection with a patency rate of 85%. Complete obliteration portended worst prognosis with 100% recurrence.
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