title: Management Strategies for Post-Prostatectomy Bladder Neck Contractures.
abstract: Patients who develop bladder neck contracture (BNC) after surgical treatment for prostate cancer often present with progressive lower urinary tract symptoms. Multiple risk factors contribute to BNC development including patient-related factors and technical considerations at the time of surgery. Initial management begins with endoscopic therapies, including dilation, transurethral incision (TUIBNC), and injection of adjunctive agents. When BNC remains refractory to these therapies, surgical reconstruction of the vesicourethral anastomosis or urinary diversion can be considered in select cases. This review presents an outline of the management of BNC after radical prostatectomy (RP), highlighting the recent literature related to the subject.
authors.affiliation: Department of Urology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA, rkovell@wakehealth.edu.
authors.forename: Robert Caleb
authors.initials: RC
authors.lastname: Kovell
authors.forename: Ryan Patrick
authors.initials: RP
authors.lastname: Terlecki
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D011468:Prostatectomy / Q000009:adverse effects*; D012307:Risk Factors; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000628:therapy*; D014549:Urinary Incontinence / Q000188:drug therapy / Q000209:etiology
chemical_list: D000970:Antineoplastic Agents