• Users Online: 210
  • Print this page
  • Email this page
REVIEW ARTICLE
Year : 2022  |  Volume : 33  |  Issue : 2  |  Page : 49-55

Bladder neck contracture as a complication of prostate surgery: Alternative treatment methods and prospects (literature review)


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

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/UROS.UROS_127_21

Rights and Permissions

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.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed862    
    Printed27    
    Emailed0    
    PDF Downloaded104    
    Comments [Add]    

Recommend this journal