Lower Urinary Tract Stenosis Following Surgery for Benign Prostatic Hyperplasia

Incidence and management of BPH surgery-related urethral stricture: Results from a large U.S. database

“…Current literature shows wide and inconsistent ranges of patency rates after UD and DVIU, varying from 35.5-92.3% and 8-77% respectively [43]. Moreover, these procedures carry a well-known inherent risk of potentially worsening the stricture, thereby signi cantly increasing treatment failure and recurrence rate [19]. Only a minority of patients in our cohort (4.5%) underwent open urethral reconstruction.…”

“…Because endoscopic BPH treatments disrupt the internal urethral sphincter, continence relies on the external sphincter muscle. Therefore, it is plausible that to preserve sphincter control, some urologists recommend repeated endoluminal treatments in place of open repair [19]. Moreover, such procedure is technically demanding and thus predominantly performed in specialized centers by dedicated surgeons [19], [45].…”

“…The incidence of urethral stricture disease after BPH procedures has been variably reported, ranging from 1% to 10-12% [16]- [19]. Its onset is typically 6-12 months [20].…”

Endoscopic Management of Secondary Sclerosis of the Bladder Neck in Bouaké: Our Experience with 23 Cases

“…Secondary sclerosis of the bladder neck is a rare late complication of endoscopic or surgical treatment of benign prostatic hyperplasia (BPH), due to excessive fibrous scarring of the prostatic lodge, transforming it into a stenosing fibrous block. It is a rare complication of surgery for benign prostatic hyperplasia, the frequency varying in the literature from 0.78% according to MOUDOUNI [4] to 2.8% according to HERRANDO [5]. The average age of patients reported in the literature is well above fifty…”

Urethral and bladder neck stenosis after thulium laser enucleation of the prostate: Analysis of risk factors in a series of 1003 patients

“…Among the latter, lower urinary tract stenosis, that is, urethral stenosis (US) and bladder neck stenosis (BNS), are bothersome drawbacks for patients and challenging in cases with recurrent disease. The incidence of lower urinary tract stenosis after transurethral surgery for benign prostatic hyperplasia (BPH) ranges from 0% to 9.7% (Kurtzman et al, 2021). A recent review, focusing on randomized comparative trials, showed a pooled incidence rate of BNS of 1.4% after monopolar transurethral resection of the prostate (TURP), 0.1% after bipolar TURP, 0.66% following enucleation and 1.2% following ablation (Castellani et al, 2021).…”