Management of bladder neck stenosis and urethral stricture and stenosis following treatment for prostate cancer

Helen L. Nicholson, Yasser Al-Hakeem, Javier J. Maldonado, Vincent Tse*

*Corresponding author for this work

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

The aim of this review is to examine all urethral strictures and stenoses subsequent to treatment for prostate cancer, including radical prostatectomy (RP), radiotherapy, high intensity focused ultrasound (HIFU) and cryotherapy. The overall majority respond to endoscopic treatment, including dilatation, direct visual internal urethrotomy (DVIU) or bladder neck incision (BNI). There are adjunct treatments to endoscopic management, including injections of corticosteroids and mitomycin C (MMC) and urethral stents, which remain controversial and are not currently mainstay of treatment. Recalcitrant strictures are most commonly managed with urethroplasty, while recalcitrant stenosis is relatively rare yet almost always associated with bothersome urinary incontinence, requiring bladder neck reconstruction and subsequent artificial urinary sphincter (AUS) implantation, or urinary diversion for the devastated outlet.

Original languageEnglish
Pages (from-to)S92-S102
Number of pages11
JournalTranslational Andrology and Urology
Volume6
Issue numberSuppl 2
DOIs
Publication statusPublished - 1 Jul 2017

Keywords

  • Bladder neck stenosis
  • Prostate cancer
  • Urethral stenosis
  • Urethral stricture

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