Refractory Bladder Neck Contracture (BNC) After Radical Prostatectomy: Prevalence, Impact and Management Challenges

Abstract

Bladder neck contracture is a recognised complication associated with radical prostatectomy. The management can be challenging, especially when refractory to initial intervention strategies. For the patient, the burden of disease is high and continence status cannot be overlooked. This review serves to provide an overview of the management of this recognised clinical pathology. Consideration needs to be given to minimally invasive approaches such as endoscopic incision, injectables, implantable devices as well as major reconstructive surgery where the condition persists. For the latter, this can involve open and robotic surgery as well as use of grafts and artificial sphincter surgery. These elements underline the need for a tailored and a patient centred approach.

Current status of the adjustable transobturator male system (ATOMSTM) for male stress urinary incontinence

“…Dual implantation of penile prosthesis and ATOMS TM has been reported. To date, only data on simultaneous AUS placement at the time of surgical repair of refractory bladder neck contracture has been reported (23)(24)(25).…”