Author/Authors :
Fallah Karkan, Morteza Department - Shohada-e-Tajrish Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Razzaghi, Mohammad Reza Department - Shohada-e-Tajrish Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Javanmard, Babak Department - Shohada-e-Tajrish Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Tayyebiazar, Ali Shahid Beheshti University of Medical Sciences, Tehran , Ghiasy, Saleh Department - Shohada-e-Tajrish Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Montazeri, Saeed Department - Shohada-e-Tajrish Hospital - Shahid Beheshti University of Medical Sciences, Tehran
Abstract :
Background: No consensus management is available for the bladder neck contracture (BNC) secondary to radical retropubic
prostatectomy (RRP).We present our experience of a technique in which holmium: YAG surgical laser was utilized transurethrally
to incise the stenotic area.
Methods: Incisions with holmium: YAG surgical laser were made in 34 subjects with BNC between January 2012 and May 2018. Medical
charts were reviewed to evaluate related data including medical history, international prostate symptoms score, uroflowmetry,
and recurrence of the stricture.
Results: The mean length of operation was 34 4.06 minutes. No significant postoperative or perioperative complications were
noted. The median length of hospital stay after surgery was two days. Five subjects (13.8%) required endoscopic holmium: YAG
laser retreatment. After the first treatment with holmium: YAG surgical laser, the mean duration for recurrence was 4.3 months. In
addition, significant improvements were observed in Qmax, residual urine volume, and the total IPSS score.
Conclusions: BNC after RRP is relatively frequent but it can be safely and effectively managed by transurethral holmium: YAG laser
incision
Keywords :
Prostate Cancer , Radical Retropubic Prostatectomy , Bladder Neck Contracture , Holmium: YAG Laser , Cold-knife Resection
