title: Postprostatectomy Anastomosis Stenosis: A Systematic Review.
abstract: Anastomotic strictures (AS) are uncommon but a vexing problem after radical prostatectomy. We reviewed the literature for AS treatment modalities to summarize the best management strategies for AS, as supported by current evidence. Twenty studies fit the inclusion and exclusion criteria. Weighted success rates and incontinence rates were calculated and used to create a treatment algorithm. Repeat attempts of minimally invasive methods seem to improve the success rate. Repeat procedures and more invasive techniques, however, may lead to higher incontinence rates.
authors.affiliation: Division of Urologic Surgery, Washington University School of Medicine, St. Louis, MO.
authors.forename: Joseph
authors.initials: J
authors.lastname: Song
authors.affiliation: Division of Urologic Surgery, Brigham and Women's Hospital, Boston, MA.
authors.forename: Jairam
authors.initials: J
authors.lastname: Eswara
authors.affiliation: Division of Urologic Surgery, Washington University School of Medicine, St. Louis, MO. Electronic address: brandess@wudosis.wustl.edu.
authors.forename: Steven B
authors.initials: SB
authors.lastname: Brandes
mesh_terms: D000714:Anastomosis, Surgical; D003251:Constriction, Pathologic / Q000628:therapy; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D011468:Prostatectomy; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000628:therapy*; D001743:Urinary Bladder / Q000601:surgery*