A Novel Management of Refractory Bladder Neck Contracture after Transurethral Resection of Prostate- Laparoscopic Wedge Resection of Bladder Neck with the Preservation of Posterior Urethral Bed: Experience of 16 Cases

Zhize Wang1#, Zitong Yang1#, Jihong Wang2#, Yanfei Feng3, Jiajie Fang1, Sihai Shao4, Liping Xie1 and Jianjun Yu1*

1Department of Urology, Zhejiang University School of Medicine, China
2Department of Urology, Shanghai Jiao Tong University, China
3Second Clinical Medical School, Zhejiang University of Chinese Medicine, China
4Department of Urology, The First People’s Hospital of Huzhou, China
#These authors contributed equally to this work

^*Correspondance to: Jianjun Yu 

 PDF  Full Text DOI: 10.25107/2474-1647.3397

Abstract

Background: Refractory Bladder Neck Contracture (BNC) secondary to Transurethral Resection of Prostate (TURP) is an intractable problem with high recurrence rate. Several types of procedures with different surgical approaches have been described to relieve obstruction while the effects are not satisfactory. Materials and Methods: A retrospective review of the medical records of 16 consecutive patients who underwent laparoscopic wedge resection of bladder neck with the preservation of posterior urethral bed from February 2018 to October 2020 was conducted. Laparoscopic wedge resection of bladder neck with the preservation of 5 to 7 o’clock at posterior urethral bed was performed in all cases. Results: No intra-operative complications were noted. No conversion to open surgery was needed. During the 12 to 20 months of follow-up, all the patients acquired urinary patency, no incontinence or dysuria was recorded. No LUTS was observed. The average Qmax was 18 ml/s. There were no post-operative complications. Conclusion: Preliminary data showed laparoscopic wedge resection of bladder neck with the preservation of posterior urethra bed is an effective method to deal with refractory BNC secondary to TURP.

Keywords

Benign prostatic hyperplasia; Bladder neck contracture; Minimally invasive surgery

Cite the article

Wang Z, Yang Z, Wang J, Feng Y, Fang J, Shao S, et al. A Novel Management of Refractory Bladder Neck Contracture after Transurethral Resection of Prostate-Laparoscopic Wedge Resection of Bladder Neck with the Preservation of Posterior Urethral Bed: Experience of 16 Cases. Clin Surg. 2022; 7: 3397..