Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy
Vesico-urethral anastomotic stenosis is a well-known sequela after radical prostatectomy for prostate cancer and has significant impact on quality of life. This review aims to summarize contemporary therapeutical approaches and to give an overview of the available evidence regarding endoscopic inter...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-11-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2020.587271/full |
| _version_ | 1818928563084066816 |
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| author | Clemens M. Rosenbaum Margit Fisch Malte W. Vetterlein |
| author_facet | Clemens M. Rosenbaum Margit Fisch Malte W. Vetterlein |
| author_sort | Clemens M. Rosenbaum |
| collection | DOAJ |
| description | Vesico-urethral anastomotic stenosis is a well-known sequela after radical prostatectomy for prostate cancer and has significant impact on quality of life. This review aims to summarize contemporary therapeutical approaches and to give an overview of the available evidence regarding endoscopic interventions and open reconstruction. Initial treatment may include dilation, incision or transurethral resection. In treatment-refractory stenoses, open reconstruction via an abdominal (retropubic), transperineal or combined abdominoperineal approach is a viable option with high success rates. All of the open surgical procedures are generally accompanied by a high risk of developing de novo incontinence and patients may need further interventions. In such cases, subsequent artificial urinary sphincter implantation is the most common treatment option with the best available evidence. |
| first_indexed | 2024-12-20T03:30:53Z |
| format | Article |
| id | doaj.art-db3993b1c5f34bbaa8fea0237924cf5a |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-20T03:30:53Z |
| publishDate | 2020-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-db3993b1c5f34bbaa8fea0237924cf5a2022-12-21T19:55:00ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2020-11-01710.3389/fsurg.2020.587271587271Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical ProstatectomyClemens M. Rosenbaum0Margit Fisch1Malte W. Vetterlein2Department of Urology, Asklepios Klinik Barmbek, Hamburg, GermanyDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyVesico-urethral anastomotic stenosis is a well-known sequela after radical prostatectomy for prostate cancer and has significant impact on quality of life. This review aims to summarize contemporary therapeutical approaches and to give an overview of the available evidence regarding endoscopic interventions and open reconstruction. Initial treatment may include dilation, incision or transurethral resection. In treatment-refractory stenoses, open reconstruction via an abdominal (retropubic), transperineal or combined abdominoperineal approach is a viable option with high success rates. All of the open surgical procedures are generally accompanied by a high risk of developing de novo incontinence and patients may need further interventions. In such cases, subsequent artificial urinary sphincter implantation is the most common treatment option with the best available evidence.https://www.frontiersin.org/articles/10.3389/fsurg.2020.587271/fullprostatic neoplasmsurethral obstructiontransurethral resectiontransurethral incisionurethral reconstruction |
| spellingShingle | Clemens M. Rosenbaum Margit Fisch Malte W. Vetterlein Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy Frontiers in Surgery prostatic neoplasms urethral obstruction transurethral resection transurethral incision urethral reconstruction |
| title | Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy |
| title_full | Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy |
| title_fullStr | Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy |
| title_full_unstemmed | Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy |
| title_short | Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy |
| title_sort | contemporary management of vesico urethral anastomotic stenosis after radical prostatectomy |
| topic | prostatic neoplasms urethral obstruction transurethral resection transurethral incision urethral reconstruction |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2020.587271/full |
| work_keys_str_mv | AT clemensmrosenbaum contemporarymanagementofvesicourethralanastomoticstenosisafterradicalprostatectomy AT margitfisch contemporarymanagementofvesicourethralanastomoticstenosisafterradicalprostatectomy AT maltewvetterlein contemporarymanagementofvesicourethralanastomoticstenosisafterradicalprostatectomy |