Endoscopic Evaluation and Treatment of Anastomotic Strictures After Radical Retropubic Prostatectomy

No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1996Endoscopic Evaluation and Treatment of Anastomotic Strictures After Radical Retropubic Prostatectomy Bruce L. Dalkin Bruce L. DalkinBruce L. Dalkin View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66595-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We describe endoscopic findings and treatment outcome in 17 men who presented with a symptomatic anastomotic stricture after radical prostatectomy. Materials and Methods: Endoscopic evaluation revealed an immature stricture in 6 men, which was treated by initial dilation and subsequent cold-knife urethrotomy. The 11 men with a mature anastomic stricture were treated by initial cold-knife urethrotomy (10) or dilation followed by urethrotomy (1). Results: There were no long-term complications from treatment, which was successful in 15 of the 17 men (88 percent). Conclusions: Initial dilation with subsequent urethrotomy for immature or initial urethrotomy for mature anastomotic strictures is a safe and effective treatment plan. References 1 : Radical retropubic prostatectomy: morbidity and quality of life. Experience with 620 consecutive cases. J. Urol., part 21992; 147: 883. Abstract, Google Scholar 2 : Perioperative and postoperative complications from bilateral pelvic lymphadenectomy and radical retropubic prostatectomy. J. Urol.1987; 137: 1189. Link, Google Scholar 3 : Anastomotic strictures following radical prostatectomy: risk factors and management. J. Urol.1990; 143: 755. Link, Google Scholar 4 : Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy. J. Urol.1994; 151: 1202. Link, Google Scholar 5 : Complications of radical retropubic prostatectomy. AUA Update Series1994; 13. lesson 6. Google Scholar 6 : Transurethral balloon dilation of anastomotic stricture after radical prostatectomy. Contemporary Urol.1994; : 16. Google Scholar 7 : The management of strictures of the membranous urethra. J. Urol.1985; 134: 469. Link, Google Scholar Department of Surgery, Section of Urology, Arizona Health Sciences Center, Tucson, Arizona.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byLaBossiere J, Cheung D and Rourke K (2015) Endoscopic Treatment of Vesicourethral Stenosis after Radical Prostatectomy: Outcomes and Predictors of SuccessJournal of Urology, VOL. 195, NO. 5, (1495-1500), Online publication date: 1-May-2016.Erickson B, McAninch J, Eisenberg M, Washington S and Breyer B (2010) Management for Prostate Cancer Treatment Related Posterior Urethral and Bladder Neck Stenosis With StentsJournal of Urology, VOL. 185, NO. 1, (198-203), Online publication date: 1-Jan-2011.ANGER J, RAJ G, DELVECCHIO F and WEBSTER G (2018) ANASTOMOTIC CONTRACTURE AND INCONTINENCE AFTER RADICAL PROSTATECTOMY: A GRADED APPROACH TO MANAGEMENTJournal of Urology, VOL. 173, NO. 4, (1143-1146), Online publication date: 1-Apr-2005.YURKANIN J, DALKIN B and CUI H (2018) EVALUATION OF COLD KNIFE URETHROTOMY FOR THE TREATMENT OF ANASTOMOTIC STRICTURE AFTER RADICAL RETROPUBIC PROSTATECTOMYJournal of Urology, VOL. 165, NO. 5, (1545-1548), Online publication date: 1-May-2001.GRALNEK D, WESSELLS H, CUI H and DALKIN B (2018) DIFFERENCES IN SEXUAL FUNCTION AND QUALITY OF LIFE AFTER NERVE SPARING AND NONNERVE SPARING RADICAL RETROPUBIC PROSTATECTOMYJournal of Urology, VOL. 163, NO. 4, (1166-1170), Online publication date: 1-Apr-2000.WESSELLS H, MOREY A and McANINCH J (2018) OBLITERATIVE VESICOURETHRAL STRICTURES FOLLOWING RADICAL PROSTATECTOMY FOR PROSTATE CANCER: RECONSTRUCTIVE ARMAMENTARIUMJournal of Urology, VOL. 160, NO. 4, (1373-1375), Online publication date: 1-Oct-1998. Volume 155Issue 1January 1996Page: 206-208 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Bruce L. Dalkin More articles by this author Expand All Advertisement PDF downloadLoading ...