Management of anastomotic strictures after radical retropubic prostatectomy

Nikolaos Kostakopoulos, Vassilios Argiropoulos, Panagiotis Tekerlekis, Athanassios Kostakopoulos


Objective: To examine the incidence, management and outcome of anastomotic strictures after bladder - neck sparing radical retropubic prostatectomy (RRP).

Patients and methods: We retrospectively reviewed 445 consecutive patients (mean age 62 years, range 49 - 72) who had open radical retro pubic prostatectomy by one surgeon between 2004 - 2014.

Results: The mean follow - up was 32 (8 - 48) months. 28 (6,2%) patients developed an anastomotic stricture. Dilatation of the stricture was an effective treatment.

Conclusion: Stricture of the vesico - urethral anastomosis after bladder - neck sparing RRP is not a rare complication, but can usually be successfully managed with one graduated dilatation.


Μέθοδος: Αναδρομική μελέτη 445 ασθενών (μέση ηλικία 62 έτη, εύρος 49 - 72), οι οποίοι υποβλήθηκαν σε ανοιχτή οπισθοηβική ριζική προστατεκτομή από έναν χειρουργό από το 2001 εώς το 2014.

Αποτελέσματα: Η μέση διάρκεια παρακολούθησης ήταν 32 (8 - 48) μήνες. 28 (6,2%) ασθενείς ανέπτυξαν αναστομωτικό στένωμα. Η διαστολή του στενώματος ήταν μία επιτυχής αντιμετώπιση.

Συμπέρασμα: Το αναστομωτικό στάνωμα μετά από ΡΠ με διατήρηση του αυχένα της ουροδόχου κύστης δεν είναι μία σπάνια επιπλοκή, αλλά μπορεί να αντιμετωπισθεί επιτυχώς με διαστολή.


prostate cancer; radical prostatectomy; anastomotic stricture; management; προστατικός καρκίνος, ριζική προστατεκτομή, αναστομωτικό στένωμα, αντιμετώπιση

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