title: Standardized approach for the treatment of refractory bladder neck contractures.
abstract: Bladder neck contracture is a relatively uncommon but well-described complication after the surgical treatment of prostate cancer. Although numerous treatments have been described as an initial management strategy for patients with this condition, the management of refractory cases remains highly variable. This article evaluates various therapeutic maneuvers used for the treatment of refractory bladder neck contracture and further describes the preliminary results of an endoscopic balloon dilation with concomitant deep traunsurethral incision procedure. Short- and long-term management algorithms for patients with recurrent bladder neck contractures are reviewed.
authors.affiliation: Department of Urology, UT Southwestern Medical Center, Dallas, TX 75390-9110, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Ramirez
authors.forename: Jay
authors.initials: J
authors.lastname: Simhan
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Hudak
authors.forename: Allen F
authors.initials: AF
authors.lastname: Morey
mesh_terms: D003558:Cystoscopy; D004106:Dilatation; D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects; D012008:Recurrence; D015607:Stents; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000628:therapy; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*
keywords: Balloon dilation; Bladder neck contracture; Refractory; Stricture