[Bladder neck sclerosis after transurethral resection of the prostate. "Study Group of the Puigvert Foundation"].
We reviewed 623 patients who underwent trans-urethral resection of the prostate (TURP) and 18 (2.8%) developed bladder neck contracture (BNC), in most cases symptomatic. Sclerosis appeared between 2 and 100 months after TURP (mean 9 months, median 19 months). Most were small prostates at the time of resection, with a mean resected weight of 10.5 g (SD 5.9), although there were no statistically significant differences between patients with and without contracture. Patients have been followed for a mean of 44.5 months. Three patients were not operated: two were asymptomatic and another one died one month postoperatively due to unrelated causes. The overall success rate was 75% and cold knife incision of the bladder neck accounted for a 90% success rate. Cold knife incision provides good long term satisfaction in patients with post-operative BNC. The difficulties in the study of this complication are analyzed.
Herrando
C
C
Servicio de Urología, Fundación Puigvert, Barcelona.
Batista
J E
JE
Chechile
G
G
López Duesa
M L
ML
Vicente
J
J
D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects*; D012598:Sclerosis / Q000209:etiology; D001743:Urinary Bladder / Q000473:pathology*
Esclerosis de cuello vesical tras resección transuretral de próstata. "Grupo de Estudio de la de la Fundación Puigvert".