Abstract
The surgical and non-surgical treatment of localised prostate cancer may be complicated by bladder neck contractures, prostatic urethral stenoses and bulbomembranous urethral strictures. In general, such complications following radical prostatectomy are less extensive, easier to treat and associated with a better outcome and more rapid recovery than the same complications following radiotherapy, high-intensity focussed ultrasound and cryotherapy. Treatment options range from minimally invasive endoscopic procedures to more complex and specialised open surgical reconstruction.In this chapter the surgical management of bladder neck contractures following the treatment of prostate cancer is described together with the management of prostatic urethral stenoses and bulbomembranous urethral strictures, given the difficulty in distinguishing them from one another clinically.
MeSH terms
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Adenocarcinoma / radiotherapy
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Adenocarcinoma / surgery
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Adenocarcinoma / therapy*
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Brachytherapy / adverse effects
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Cicatrix / etiology
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Cicatrix / surgery
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Cryosurgery / adverse effects
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Cystoscopy
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Dilatation
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Fibrosis
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High-Intensity Focused Ultrasound Ablation / adverse effects
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Humans
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Male
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Plastic Surgery Procedures / methods*
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Postoperative Complications / surgery
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Prostatic Neoplasms / radiotherapy
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Prostatic Neoplasms / surgery
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Prostatic Neoplasms / therapy*
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Radiation Injuries / etiology
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Radiation Injuries / surgery
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Radiography
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Stents
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Urethra / injuries
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Urethra / pathology
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Urethra / radiation effects
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Urethral Stricture / diagnostic imaging
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Urethral Stricture / etiology
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Urethral Stricture / surgery*
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Urinary Bladder / injuries
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Urinary Bladder / pathology
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Urinary Bladder / radiation effects
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Urinary Bladder Neck Obstruction / diagnostic imaging
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Urinary Bladder Neck Obstruction / etiology
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Urinary Bladder Neck Obstruction / surgery*
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Urinary Incontinence / etiology
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Urinary Incontinence / prevention & control
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Urologic Surgical Procedures, Male / methods*