Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy
Standard
Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy. / Rosenbaum, Clemens M; Fisch, Margit; Vetterlein, Malte W.
in: FRONT SURG, Jahrgang 7, 26.11.2020, S. 587271.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy
AU - Rosenbaum, Clemens M
AU - Fisch, Margit
AU - Vetterlein, Malte W
N1 - Copyright © 2020 Rosenbaum, Fisch and Vetterlein.
PY - 2020/11/26
Y1 - 2020/11/26
N2 - Vesico-urethral anastomotic stenosis is a well-known sequela after radical prostatectomy for prostate cancer and has significant impact on quality of life. This review aims to summarize contemporary therapeutical approaches and to give an overview of the available evidence regarding endoscopic interventions and open reconstruction. Initial treatment may include dilation, incision or transurethral resection. In treatment-refractory stenoses, open reconstruction via an abdominal (retropubic), transperineal or combined abdominoperineal approach is a viable option with high success rates. All of the open surgical procedures are generally accompanied by a high risk of developing de novo incontinence and patients may need further interventions. In such cases, subsequent artificial urinary sphincter implantation is the most common treatment option with the best available evidence.
AB - Vesico-urethral anastomotic stenosis is a well-known sequela after radical prostatectomy for prostate cancer and has significant impact on quality of life. This review aims to summarize contemporary therapeutical approaches and to give an overview of the available evidence regarding endoscopic interventions and open reconstruction. Initial treatment may include dilation, incision or transurethral resection. In treatment-refractory stenoses, open reconstruction via an abdominal (retropubic), transperineal or combined abdominoperineal approach is a viable option with high success rates. All of the open surgical procedures are generally accompanied by a high risk of developing de novo incontinence and patients may need further interventions. In such cases, subsequent artificial urinary sphincter implantation is the most common treatment option with the best available evidence.
U2 - 10.3389/fsurg.2020.587271
DO - 10.3389/fsurg.2020.587271
M3 - SCORING: Review article
C2 - 33324673
VL - 7
SP - 587271
JO - FRONT SURG
JF - FRONT SURG
SN - 2296-875X
ER -