| REVIEW ARTICLE |
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| Year : 2022 | Volume
: 33
| Issue : 2 | Page : 49-55 |
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Bladder neck contracture as a complication of prostate surgery: Alternative treatment methods and prospects (literature review)
Shukhrat Anvarovich Abbosov1, Nikolay Ivanovich Sorokin2, Azizbek Bakhodirovich Shomarufov1, Aleksey Viktorovich Kadrev3, Khusniddin Zafariddin Ugli Nuriddinov4, Shukhrat Tursunovich Mukhtarov4, Farkhad Ataullaevich Akilov4, Armais Albertovich Kamalov2
1 Department of Urology and Andrology, Faculty of Fundamental Medicine, Lomonosov Moscow State University, Medical Scientific and Educational Center of Lomonosov Moscow State University, Moscow, Russia; Department of Urology, Tashkent Medical Academy, Tashkent, Uzbekistan
2 Department of Urology and Andrology, Faculty of Fundamental Medicine, Lomonosov Moscow State University, Medical Scientific and Educational Center of Lomonosov Moscow State University, Moscow, Russia
3 Department of Ultrasound, Diagnostics of the Medical Scientific and Educational Center of Lomonosov Moscow StateUniversity, Moscow, Russia
4 Department of Urology, Tashkent Medical Academy, Tashkent, Uzbekistan
Correspondence Address:
Shukhrat Anvarovich Abbosov
Department of Urology and Andrology, Faculty of Fundamental Medicine, Lomonosov Moscow State University, Moscow
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/UROS.UROS_127_21
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Bladder neck contracture (BNC) is one of the most common complications of surgical treatment of prostate diseases. The rate of postoperative BNC varies depending on the type of surgical treatment used. The options for treatment techniques for BNC can vary from endoscopic interventions to complex (abdominal) surgical interventions. This review evaluates various alternative surgical methods of BNC treatment. The search and analysis of publications in the databases PubMed (MEDLINE), Scopus, Cochrane Library, according to the keywords, “bladder neck sclerosis,” “benign prostatic hyperplasia,” “BNC,” “bladder neck stenosis,” “balloon dilation,” “treatment.” As a result, 71 publications were selected and included in this review. In addition to the standard treatment methods in the form of transurethral resection and incision of the bladder neck using electricity and laser energy, the urologist also has alternative methods of treatment, such as balloon dilation, placement of urethral stents, instillation of the bladder or intraoperative injection of cytostatic drugs, hormones, hyaluronic acid derivatives, and biomedical cell products into the bladder neck area. Although transurethral resection is currently the main treatment option for BNC, the recurrence rate after this procedure can reach up to 38%. According to the literature, balloon dilation can be a promising and minimally invasive method of treatment for recurrent BNC. This method can be used as the first stage in the treatment of recurrent contracture deformity. Furthermore, intravesical instillation of various anti-inflammatory drugs and cytostatics can be promising directions in the treatment and prevention of BNC.
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