Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy

Frontiers in Surgery

Clemens M. Rosenbaum¹  Margit Fisch²  Malte W. Vetterlein² 

[1] Department of Urology, Asklepios Klinik Barmbek, Hamburg, Germany;Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;

关键词: prostatic neoplasms;    urethral obstruction;    transurethral resection;    transurethral incision;    urethral reconstruction;   

DOI  :  10.3389/fsurg.2020.587271

来源: DOAJ

【 摘 要 】

Vesico-urethral anastomotic stenosis is a well-known sequela after radical prostatectomy for prostate cancer and has significant impact on quality of life. This review aims to summarize contemporary therapeutical approaches and to give an overview of the available evidence regarding endoscopic interventions and open reconstruction. Initial treatment may include dilation, incision or transurethral resection. In treatment-refractory stenoses, open reconstruction via an abdominal (retropubic), transperineal or combined abdominoperineal approach is a viable option with high success rates. All of the open surgical procedures are generally accompanied by a high risk of developing de novo incontinence and patients may need further interventions. In such cases, subsequent artificial urinary sphincter implantation is the most common treatment option with the best available evidence.

【 授权许可】

Unknown