Therapeutic approaches to postoperative contracture of the vesical neck.
Postoperative contracture is a rare cause of the secondary obstructions of the vesical neck, besides remnants of prostatic adenomas, recurrent adenoma and prostatic cancer. It appears morphologically either as circumscribed sclerosis, as so-called sphincter sclerosis, or as extensive contracture of the entire prostatic urethra. Severe postoperative contracture with an iris-shaped membrane at the site of the internal sphincter is the most frequent form up to one year after primary surgery. The overall incidence has been given as 1.37%, of which 13.6% were refractory to therapy and recurred. Special forms of therapy are discussed.
D003251:Constriction, Pathologic; D004106:Dilatation / Q000379:methods; D004724:Endoscopy / Q000379:methods; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local; D011183:Postoperative Complications / Q000628:therapy*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000150:complications / Q000601:surgery; D012008:Recurrence; D014521:Urethra / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000628:therapy*