Vesico-urethral anastomotic stenosis following radical prostatectomy: a multi- institutional outcome analysis with a focus on endoscopic approach, surgical sequence, and the impact of radiation therapy
World Journal of Urology Apr 03, 2020
Pfalzgraf D, Worst T, Kranz J, et al. - In this study, the predictors of recurrence and of de novo incontinence were evaluated in patients treated by transurethral incision or resection for vesico-urethral anastomotic stenosis (VUAS) after radical prostatectomy. Between March 2009 and October 2016, researchers distinguished all patients undergoing endoscopic treatment for VUAS in the multi-institutional database. For follow-up, they performed digital chart reviews and patients contacted. There were 103 patients who were included in this study. After endoscopic treatment, VUAS recurrence is not predictable. The results suggest that endoscopic treatment with TI revealed a higher risk for de novo incontinence than TR, and previous irradiation and the number of treatments do not affect incontinence.
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