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

Abstract

Sabine Uguzova,1 Christian Beisland,2,3 Alfred Honoré,2,3 Patrick Juliebø-Jones2,3 1Department of Urology, Stepping Hill Hospital, Manchester, UK; 2Department of Urology, Haukeland University Hospital, Bergen, Norway; 3Department of Clinical Medicine, University of Bergen, Bergen, NorwayCorrespondence: Patrick Juliebø-Jones, Email [email protected]: 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.Keywords: prostate cancer, bladder neck contracture, radical prostatectomy

Keywords

• prostate cancer
• bladder neck contracture
• radical prostatectomy