title: [Postoperative sclerosis of the bladder neck: surgical treatment].
abstract: We analyzed the results of surgical treatment of vesical neck sclerosis in 81 patients who underwent 97 procedures. Most of these patients had post-operative sclerosis of the vesical neck. The different surgical techniques and their results are reviewed. Excision of the sclerotic tissue by transurethral encircling resection has been the most widely used and has achieved better results. It is frequently necessary, however, to use it together with other complementary techniques such as retrograde resection, knife incision, or combined procedures. Knife incision of the diaphragm has achieved the worst results. Overall, the results have been poor (approximately 36% poor results). The results achieved by these procedures are even worse (75% poor results) in recurrence.
authors.affiliation: Servicio de Urología, Hospital del INSALUD, Zaragoza, España.
authors.forename: J A
authors.initials: JA
authors.lastname: Pérez Arbej
authors.forename: M I
authors.initials: MI
authors.lastname: Cameo Rico
authors.forename: J G
authors.initials: JG
authors.lastname: Valdivia Uría
authors.forename: R
authors.initials: R
authors.lastname: Espuela Orgaz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005069:Evaluation Studies as Topic; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D012598:Sclerosis; D013514:Surgical Procedures, Operative / Q000379:methods; D001743:Urinary Bladder / Q000473:pathology*; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology* / Q000601:surgery
vernacular_title: Aportaciones al conocimiento de la esclerosis post-operatoria del cuello vesical: tratamiento quirúrgico.