Refractory Bladder Neck Contracture (BNC) After Radical Prostatectomy: Prevalence, Impact and Management Challenges.

IF 2 Q2 UROLOGY & NEPHROLOGY
Research and Reports in Urology Pub Date : 2023-11-07 eCollection Date: 2023-01-01 DOI:10.2147/RRU.S350777
Sabine Uguzova, Christian Beisland, Alfred Honoré, Patrick Juliebø-Jones
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引用次数: 0

Abstract

Bladder neck contracture is a recognised complication associated with radical prostatectomy. The management can be challenging, especially when refractory to initial intervention strategies. For the patient, the burden of disease is high and continence status cannot be overlooked. This review serves to provide an overview of the management of this recognised clinical pathology. Consideration needs to be given to minimally invasive approaches such as endoscopic incision, injectables, implantable devices as well as major reconstructive surgery where the condition persists. For the latter, this can involve open and robotic surgery as well as use of grafts and artificial sphincter surgery. These elements underline the need for a tailored and a patient centred approach.

根治性前列腺切除术后难治性膀胱颈挛缩(BNC):患病率、影响和管理挑战。
膀胱颈挛缩是根治性前列腺切除术后常见的并发症。管理可能是具有挑战性的,特别是当最初的干预策略难以奏效时。对于患者而言,疾病负担高,尿失禁状况不容忽视。这篇综述提供了这一公认的临床病理管理的概述。需要考虑微创方法,如内镜切口、注射、植入式装置以及病情持续的重大重建手术。对于后者,这可以包括开放和机器人手术,以及使用移植物和人工括约肌手术。这些因素强调需要有针对性地采取以病人为中心的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Research and Reports in Urology
Research and Reports in Urology UROLOGY & NEPHROLOGY-
CiteScore
3.40
自引率
0.00%
发文量
60
审稿时长
16 weeks
期刊介绍: Research and Reports in Urology is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric urology in the clinic and laboratory including the following topics: Pathology, pathophysiology of urological disease Investigation and treatment of urological disease Pharmacology of drugs used for the treatment of urological disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered.
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