[Stenosis of the vesico-urethral anastomosis. Our experience with 114 radical prostatectomies].
The authors report a retrospective series of 114 radical prostatectomies performed over a ten-year period. This study was designed to investigate the factors likely to cause complications in order to prevent them. Stenosis of the vesicourethral anastomosis was observed in 22 patients and represented the commonest complication (19.2%). It generally occurred before the 12th month, while late stenoses. An anastomotic leak after removal of the bladder catheter appears to be the most significant factor. The decreasing incidence of these stenoses over the ten-year study period illustrates the role of operator experience. The most effective treatment for these stenoses is mono-incision which, completed by dilatation sessions, prevents recurrence without compromising continence.
Service d'Urologie, Hôpital Sud, Amiens.
M
M
Kampanga
F
F
Dahmani
F
F
Hakami
G
G
Devoldere
H
H
Abourachid
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*
Sténose de l'anastomose vésico-uréthrale. Notre expérience sur 114 prostatectomies radicales.