Management of bladder neck stenosis after surgery for benign prostatic obstruction

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David Josue Saavedra Verduga
Angel Roberto Proaño Toro

Abstract

Introduction: Bladder neck stricture is a potential complication following surgical treatment for both benign and malignant prostatic conditions. Hence, this theoretical review aims to synthesize the evidence about treatment strategies for this complication.


Objective: This review aims to summarize the current approaches to managing bladder neck stricture arising after surgery for benign prostatic obstruction, based on a theoretical review of specialized literature from the past five years.


Methodology: By using a meaningful question, this review utilized a PICOT strategy and DeCS/MeSH terms to search for relevant information. Databases such as the Cochrane Library, PubMed, the European Association of Urology, and the American Association of Urology, as well as search engines like TripDatabase, were consulted.


Results: Six articles were included in the review out of 810. The majority of the articles discussed transurethral resection as a treatment approach. Additionally, one article described the use of triamcinolone acetonide injection following transurethral resection, while another discussed internal urethrotomy with direct vision using a heated scalpel. The review also highlighted the value of the endoscopic approach in three articles. Furthermore, laparoscopic T-plasty and endovideoscopic YV-plasty of the bladder neck were each described in one article.


Conclusion: Various treatment options are available for bladder neck stricture resulting from the treatment of benign prostatic obstruction. The most common procedure is a transurethral incision of the bladder neck, with an open bladder neck incision in severe situations. In some cases, it may combine an incision and transurethral resection

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How to Cite
Saavedra Verduga , D. J., & Proaño Toro, A. R. (2024). Management of bladder neck stenosis after surgery for benign prostatic obstruction. Mediciencias UTA, 8(3), 97–110. https://doi.org/10.31243/mdc.uta.v8i3.2516.2024
Section
Review Article

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