title: Bladder neck contracture.
abstract: Bladder neck contracture (BNC) is a well-described complication of the surgical treatment of benign and malignant prostate conditions. Nevertheless, etiologies of BNC development are highly dependent on the primary treatment modality undertaken with BNC also occurring after pelvic radiation. The treatment options for BNC can range from simple, office-based dilation procedures to more invasive, complex abdomino-perineal reconstructive surgery. Although numerous strategies have been described, a patient-specific approach is usually necessary in the management of these complex patients. In this review, we highlight various therapeutic maneuvers described for the management of BNC and further delineate a tailored approach utilized at our institution in these complicated patients.
authors.affiliation: 1 Department of Urology, UT Southwestern, Dallas, TX, USA ; 2 Urology Section, Department of Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas, USA.
authors.forename: Jay
authors.initials: J
authors.lastname: Simhan
authors.affiliation: 1 Department of Urology, UT Southwestern, Dallas, TX, USA ; 2 Urology Section, Department of Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Ramirez
authors.affiliation: 1 Department of Urology, UT Southwestern, Dallas, TX, USA ; 2 Urology Section, Department of Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas, USA.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Hudak
authors.affiliation: 1 Department of Urology, UT Southwestern, Dallas, TX, USA ; 2 Urology Section, Department of Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas, USA.
authors.forename: Allen F
authors.initials: AF
authors.lastname: Morey
keywords: Bladder neck contracture (BNC); prostate cancer; refractory
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