Views: 1,185 | Downloads:
23
| Responses: 0
| XML | Respond to this article | Alert & updates | Request permissions | Email to a friend |
Original ArticleOpen Access
Vesicourethral Strictures After Radical Prostatectomy: Review of Treatment and Outcome
Kochakam W 
,
RatanaOlam K
,
RatanaOlam K WACHIRA KOCHAKARN, M.D.*,
KRISADA RATANA-OLARN, M.D.*,
VIRA VISESHSINDH, M.D.*
Objective:
Stricture of the vesicourethral anastomosis is a complication after radical
prostatectomy. Urethral dilatation, internal urethrotomy, transurethral resection or laser therapy have
been reported as the treatment for this complication. The objective of this study was to present our
experience with the management of the vesicourethral stricture.
Material and Method:
A retrospective study of 90 patients undergoing radical prostatec-
tomy for localized prostatic carcinoma was done. The vesicourethral stricture was treated by dilata-
tion, internal urethrotomy, and transurethral resection of scar tissue in all of the patients. Dilatation
was done in less severe cases, internal urethrotomy was done in partial obliteration or after failure of
dilatation. Transurethral resection was done in cases with long scar tissue.
Results:
Ten patients ( 11%) had anastomotic stricture. The strictures were treated by dila-
tation in 5 cases, internal
ur~otomy
in 4 cases and transurethral resection in 1 case. Cure was
achieved in all of the patients without incontinence. The median follow-up was 10 months (4-36
months)
Conclusion:
The dilatation and endoscopic procedures of the vesicourethral stricture
showed a high cure rate and low incidence of incontinence.
Key words
: Prostate, Carcinoma, Surgery, Radical Prostatectomy, Complication, Urethral Stricture
KRISADA RATANA-OLARN, M.D.*,
VIRA VISESHSINDH, M.D.*
Objective:
Stricture of the vesicourethral anastomosis is a complication after radical
prostatectomy. Urethral dilatation, internal urethrotomy, transurethral resection or laser therapy have
been reported as the treatment for this complication. The objective of this study was to present our
experience with the management of the vesicourethral stricture.
Material and Method:
A retrospective study of 90 patients undergoing radical prostatec-
tomy for localized prostatic carcinoma was done. The vesicourethral stricture was treated by dilata-
tion, internal urethrotomy, and transurethral resection of scar tissue in all of the patients. Dilatation
was done in less severe cases, internal urethrotomy was done in partial obliteration or after failure of
dilatation. Transurethral resection was done in cases with long scar tissue.
Results:
Ten patients ( 11%) had anastomotic stricture. The strictures were treated by dila-
tation in 5 cases, internal
ur~otomy
in 4 cases and transurethral resection in 1 case. Cure was
achieved in all of the patients without incontinence. The median follow-up was 10 months (4-36
months)
Conclusion:
The dilatation and endoscopic procedures of the vesicourethral stricture
showed a high cure rate and low incidence of incontinence.
Key words
: Prostate, Carcinoma, Surgery, Radical Prostatectomy, Complication, Urethral Stricture
Download:
PDF