[Bladder neck sclerosis after surgical or transurethral resection of the prostate: a report of 40 cases].
OBJECTIVE
To describe diagnostic and therapeutic particularity of complication through a sample of 40 patients.


METHODS
We collected 40 cases of secondary bladder neck sclerosis after surgical or endoscopic treatment for patients with benign hypertrophic prostate. Mean age was 71.5 years.


RESULTS
This complication followed a prostate resection trought bladder in 52% it a urethral resection in 48%. Mean follow up of to observe this complication was 46.5 months. All patients had obstructive urinary signs revealed by clinical examination and, showing blader distension in 15 patients. Treatment was based on resection of sclerosis lesions in 27 patients, and incision of sclerosis tissues in 13 patients. After mean follow up of 32 months, 11 patients had recurrence of bladder neck sclerosis treated endoscopically. three patients had several endoscopic treatment followed by urinary incontinence.


CONCLUSIONS
secondary sclerosis of bladder neck is a rare late complication of benign hypertrophic prostate surgery. It was very because of recurrence. Treatment needs endoscopic procedures.
Sataa
Sallami
S
Service d'urologie, CHU La Rabta, Tunis, Tunisie.
Yassine
Nouira
N
Horchani
Ali
A
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011470:Prostatic Hyperplasia / Q000601:surgery*; D012598:Sclerosis; D020728:Transurethral Resection of Prostate; D001743:Urinary Bladder / Q000473:pathology* / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000601:surgery