Bladder-neck incision for relief of obstruction after anti-incontinence surgery

1993 ◽  
Vol 4 (2) ◽  
pp. 68-69 ◽  
Author(s):  
P. J. Moloney ◽  
H. N. Fenster
Keyword(s):  
Bladder Neck ◽  
Incontinence Surgery ◽  
Bladder Neck Incision

scholarly journals Triamcinolone acetonide injections for the treatment of recalcitrant post-radical prostatectomy vesicourethral anastomotic stenosis: A retrospective look at efficacy and safety

2020 ◽  
Vol 15 (3) ◽  
Author(s):  
Sarah Neu ◽  
Humberto Vigil ◽  
Jennifer A. Locke ◽  
Sender Herschorn
Keyword(s):  
Bladder Neck ◽  
Radiation Treatment ◽  
Anastomotic Stenosis ◽  
Incontinence Surgery ◽  
Outpatient Procedures ◽  
Bladder Neck Incision ◽  
Triamcinolone Injection ◽  
Urinary Extravasation ◽  
Cold Knife ◽  
Placement Success

Introduction: We aimed to evaluate the success of bladder neck injections of triamcinolone at the time of transurethral bladder neck incision (BNI) for prevention of recurrent vesicourethral anastomotic stenosis (VUAS) following prostate cancer treatment. Methods: This is a retrospective cohort study examining patients with recurrent VUAS post-RP ± radiation treated with triamcinolone injections at the time of BNI. VUAS was diagnosed by symptoms followed by cystoscopy or urethrography. The outpatient procedures were done under general anesthesia. Cold knife incisions were made at the three, nine, and 12 o’clock BN positions, followed by triamcinolone injections (4 mg/mL) into the three and nine o’clock incision sites. Treatment outcomes were determined with cystoscopy. Results: Eighteen men underwent 25 procedures over a four-year period. Median age at diagnosis of VUAS was 65 (interquartile range [IQR] 61–68); median time to VUAS from RP was eight months (IQR 5–12). Fourteen patients (78%) had radiation treatment. The cohort had 128 unsuccessful VUAS treatments, with a median of five failed treatments per patient (IQR 3–10). Failed treatments included BN dilation, BNI, BN injection of mitomycin C, and urethral stent placement. Success rate after a mean of 16.3 months (standard deviation [SD] 8.1) from the time of triamcinolone injection was 83% (15/18). Six patients went on to have successful incontinence surgery. Five patients (28%) had treatment complications (bleeding, urinary tract infection, pain, and urinary extravasation). The three non-responders are stable and awaiting re-treatment with triamcinolone injection. Conclusions: Triamcinolone bladder neck injections for post-RP VUAS are a useful and safe treatment for recurrent stenosis.

1557: Holmium Bladder Neck Incision (HOBNI) vs.Holmium Laser Enucleation of the Prostate (HOLEP) As Outpatient Clinic Procedures for Small Prostate Glands (<40g): A Randomised Trial With One Year Follow-Up

2004 ◽  
Vol 171 (4S) ◽  
pp. 410-411
Author(s):  
Peter J. Gilling ◽  
Katie Kennett ◽  
Tevita Aho ◽  
Andre Westenberg ◽  
Mark Fraundorfer
Keyword(s):  
Outpatient Clinic ◽  
Bladder Neck ◽  
Randomised Trial ◽  
Bladder Neck Incision ◽  
Laser Enucleation ◽  
One Year

Transurethral Resection of the Prostate and Bladder Neck Incision: a Review of 700 Cases

1985 ◽  
Vol 57 (2) ◽  
pp. 168-171 ◽  
Author(s):  
L. E. EDWARDS ◽  
T. E. BUCKNALL ◽  
M. R. PITTAM ◽  
D. R. RICHARDSON ◽  
J. STANEK
Keyword(s):  
Transurethral Resection ◽  
Bladder Neck ◽  
Bladder Neck Incision

scholarly journals Visual Laser Ablation of the Prostate (VLAP) with Bare Fiber in Conjunction with Laser Bladder Neck Incision in The Treatment of Patients with Benign Prostatic Hyperplasia (BPH)

1997 ◽  
Vol 17 (2) ◽  
pp. 191-194
Author(s):  
Hasan M. A. Farsi ◽  
Hisham A. Mosli ◽  
Mohammed F. Alzemaity ◽  
Ahmed Bahnasy
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Laser Ablation ◽  
Bladder Neck ◽  
Prostatic Hyperplasia ◽  
Bladder Neck Incision

Long-term Assessment of 107 Patients Undergoing Bladder Neck Incision

1989 ◽  
Vol 64 (3) ◽  
pp. 280-282 ◽  
Author(s):  
B. WAYMONT ◽  
J. P. WARD ◽  
K. C. PERRY
Keyword(s):  
Bladder Neck ◽  
Bladder Neck Incision
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