Mp37-18 the Efficacy of Bladder Neck Incision With Transurethral Steroid Injection in Preventing Recurrent Bladder Neck Contracture Post Radical Retropubic Prostatectomy

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy I (MP37)1 May 2024MP37-18 THE EFFICACY OF BLADDER NECK INCISION WITH TRANSURETHRAL STEROID INJECTION IN PREVENTING RECURRENT BLADDER NECK CONTRACTURE POST RADICAL RETROPUBIC PROSTATECTOMY Samuel A. Macdiarmid Samuel A. MacdiarmidSamuel A. Macdiarmid View All Author Informationhttps://doi.org/10.1097/01.JU.0001008948.02935.01.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Bladder neck contracture (BNC) is a common complication which arises following radical retropubic prostatectomy (RRP). While most cases can be treated with a single endoscopic intervention, recurrent contractures can be challenging to manage and are associated with significant morbidity. Here we review the efficacy of bladder neck incision (BNI) with transurethral steroid injection for recurrent disease. METHODS: We collected data on all men that underwent BNI with transurethral steroid injection for recurrent BNC at two regional centers in New Zealand between November 2011 and March 2023. BNC's were diagnosed endoscopically and defined as recurrent after one previous dilatation or BNI (Without transurethral steroid injection) had been unsuccessful. Follow up was initially performed at 3 months with an International Prostate Symptom Score and urinary flow rate. Patients were deemed recurrence free following discharge from the urology service or after a continence procedure, suggesting interval stability of contracture. RESULTS: 33 patients underwent BNI with intralesional steroid during the study period. All of these patients had undergone previous BNI or dilatation without lasting success. 72% (24/33) of patients were recurrence free post procedure and this increased to 84% (28/33) after a repeat procedure in 4 patients. All 5 patients who developed recurrent BNC post salvage radiotherapy were successfully managed with a single BNI and transurethral steroid injection. Mean follow up was 34 months. No adverse events were associated with treatment. CONCLUSIONS: BNI with transurethral steroid injection is a safe, simple and effective intervention for management of recurrent bladder neck contracture post radical retropubic prostatectomy. It is a low cost procedure which alleviates contracture related morbidity and remains effective following salvage radiotherapy. Source of Funding: None - self funded © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e610 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Samuel A. Macdiarmid More articles by this author Expand All Advertisement PDF downloadLoading ...