Given the high risk of postoperative incontinence, reconstruction in bulbo-membranous
stenosis (BMS) after benign prostatic hyperplasia surgery is challenging. Because
of this, initial conservative management with dilation or internal urethrotomy is
usually recommended. Unfortunately, the cure rate is low, and the stenosis may remain
unsolved, with many patients ending up with a suprapubic tube. While not particularly
frequent, this is a devastating complication for patients undergoing supposedly routine
BPH surgery. Searching for a curative treatment, anastomotic and grafting techniques
have been proposed, showing an 80%-95% stricture-free rate, preserving continence
in 85%-95% of all cases.
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References
- Anatomy and techniques in posterior urethroplasty.Transl Androl Urol. 2018; 7: 567-579
- Intrasphincteric anastomotic urethroplasty allows preservation of continence in men with bulbomembranous urethral strictures following benign prostatic hyperplasia surgery.World J Urol. 2020;
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© 2020 Published by Elsevier Inc.
