Successful treatment of recurrent vesicourethral stricture after radical prostatectomy with holmium laser: report of three cases.
We report three cases with severe anastomotic strictures, which recurred several times after radical prostatectomy despite repeated treatments of urethral dilation, internal urethrotomy and/or transurethral resection. All three cases were finally treated with holmium laser successfully without any intraoperative or postoperative complications after repeated failures of each treatment. There were two specific characteristics in these three cases: the early onset of the stricture and the pinhole opening located on the top (12-o'clock) of the stricture wall.
Hayashi
Tetsuo
T
Department of Urology, Saitama Medical Center, Saitama Medical School, Kawagoe, Saitama, Japan. hayashi@saitama-med.ac.jp
Yoshinaga
Atsushi
A
Ohno
Rena
R
Ishii
Nobuyuki
N
Watanabe
Toru
T
Yamada
Takumi
T
Kihara
Kazunori
K
D000368:Aged; D005500:Follow-Up Studies; D006695:Holmium; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000601:surgery*
D006695:Holmium