Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy

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Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy. / Rosenbaum, Clemens M; Fisch, Margit; Vetterlein, Malte W.

In: FRONT SURG, Vol. 7, 26.11.2020, p. 587271.

Research output: SCORING: Contribution to journalSCORING: Review articleResearch

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@article{216a730dd7d64a1ab4eda06085c32ff7,
title = "Contemporary Management of Vesico-Urethral Anastomotic Stenosis After Radical Prostatectomy",
abstract = "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.",
author = "Rosenbaum, {Clemens M} and Margit Fisch and Vetterlein, {Malte W}",
note = "Copyright {\textcopyright} 2020 Rosenbaum, Fisch and Vetterlein.",
year = "2020",
month = nov,
day = "26",
doi = "10.3389/fsurg.2020.587271",
language = "English",
volume = "7",
pages = "587271",
journal = "FRONT SURG",
issn = "2296-875X",
publisher = "Frontiers Media S. A.",

}

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 -