Robotic-assisted Y-V plasty for obliterative bladder neck contracture following transurethral resection of prostate.

IF 1 Q3 UROLOGY & NEPHROLOGY
Indian Journal of Urology Pub Date : 2026-07-01 Epub Date: 2026-06-30 DOI:10.4103/iju.iju_208_26
Saroj Kumar Yadav, Boris Kangabam, N L Bharath, Sidhartha Kalra
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引用次数: 0

Abstract

Bladder neck contracture (BNC) is a recognized complication after transurethral resection of prostate (TURP) (0.5%-10%). While endoscopic treatment is first-line, obliterative BNC not amenable to guidewire passage often recurs. We report a 66-year-old male with BNC 1 year after TURP, initially managed with suprapubic cystostomy (SPC). As the contracture was complete, robotic-assisted Y-V plasty was performed. The bladder was mobilised, fibrotic tissue excised, and a vascularised anterior flap was advanced under cystoscopic and indocyanine green guidance. Recovery was uneventful. At 1 year, the patient had Qma × 22 mL/s, minimal residual urine, and full continence. Robotic Y-V plasty offers a durable, single-stage solution for refractory obliterative BNC.

机器人辅助Y-V成形术治疗经尿道前列腺切除术后膀胱颈挛缩。
膀胱颈挛缩(BNC)是经尿道前列腺切除术(TURP)后公认的并发症(0.5%-10%)。虽然内窥镜治疗是第一线,但不适合导丝通道的闭塞性BNC经常复发。我们报告一位66岁男性患者在TURP术后1年出现BNC,最初采用耻骨上膀胱造口术(SPC)进行治疗。当挛缩完全后,进行机器人辅助的Y-V成形术。膀胱被活动,纤维化组织被切除,在膀胱镜和吲哚菁绿引导下推进一个血管化的前瓣。恢复过程平淡无奇。1年时,患者Qma × 22 mL/s,残余尿极少,完全失禁。机器人Y-V成形术为难治性闭塞性BNC提供了一种持久、单阶段的解决方案。
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来源期刊
Indian Journal of Urology
Indian Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
62
审稿时长
33 weeks
期刊介绍: Indian Journal of Urology-IJU (ISSN 0970-1591) is official publication of the Urological Society of India. The journal is published Quarterly. Bibliographic listings: The journal is indexed with Abstracts on Hygiene and Communicable Diseases, CAB Abstracts, Caspur, DOAJ, EBSCO Publishing’s Electronic Databases, Excerpta Medica / EMBASE, Expanded Academic ASAP, Genamics JournalSeek, Global Health, Google Scholar, Health & Wellness Research Center, Health Reference Center Academic, Hinari, Index Copernicus, IndMed, OpenJGate, PubMed, Pubmed Central, Scimago Journal Ranking, SCOLOAR, SCOPUS, SIIC databases, SNEMB, Tropical Diseases Bulletin, Ulrich’s International Periodical Directory
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