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EDITORIAL COMMENT

  • Reynaldo G. Gomez
    Correspondence
    Address correspondence to: Reynaldo G. Gomez, M.D., F.A.C.S., Chief of Urology, Hospital del Trabajador, Ramon Carnicer 185, Santiago, Chile.
    Affiliations
    Hospital del Trabajador, Santiago, Chile
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      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

        • Gómez RG
        • Scarberry K
        Anatomy and techniques in posterior urethroplasty.
        Transl Androl Urol. 2018; 7: 567-579
        • Gómez RG
        • Velarde LG
        • Campos RA
        • et al.
        Intrasphincteric anastomotic urethroplasty allows preservation of continence in men with bulbomembranous urethral strictures following benign prostatic hyperplasia surgery.
        World J Urol. 2020;