Bladder Neck Contracture as a Complication of Prostate Surgery: Alternative Treatment Methods and Prospects (Literature Review)

Abbosov, S.A.; Sorokin, N.I.; Shomarufov, A.B.; Kadrev, A.V.; Nuriddinov, K.Z.; Mukhtarov, S.T.; Akilov, F.A.; Kamalov, A.A.

Авторы: Abbosov Sh A., Sorokin N.I., Shomarufov A.B., Kadrev A.V., Nuriddinov K.Z., Mukhtarov Sh T., Akilov F.A., Kamalov A.A.
Журнал: Urological Science
Том: 33
Номер: 2
Год издания: 2022
Издательство: Elsevier BV
Местоположение издательства: Netherlands
Первая страница: 49
Последняя страница: 55
DOI: 10.4103/UROS.UROS_127_21
Аннотация: Bladder neck contracture (BNC) is one of the most common complications of surgical treatment of prostate diseases. The rate of postoperativeBNC varies depending on the type of surgical treatment used. The options for treatment techniques for BNC can vary from endoscopicinterventions to complex (abdominal) surgical interventions. This review evaluates various alternative surgical methods of BNC treatment.The search and analysis of publications in the databases PubMed (MEDLINE), Scopus, Cochrane Library, according to the keywords,“bladder neck sclerosis,” “benign prostatic hyperplasia,” “BNC,” “bladder neck stenosis,” “balloon dilation,” “treatment.” As a result, 71publications were selected and included in this review. In addition to the standard treatment methods in the form of transurethral resectionand incision of the bladder neck using electricity and laser energy, the urologist also has alternative methods of treatment, such as balloondilation, placement of urethral stents, instillation of the bladder or intraoperative injection of cytostatic drugs, hormones, hyaluronic acidderivatives, and biomedical cell products into the bladder neck area. Although transurethral resection is currently the main treatment optionfor BNC, the recurrence rate after this procedure can reach up to 38%. According to the literature, balloon dilation can be a promisingand minimally invasive method of treatment for recurrent BNC. This method can be used as the first stage in the treatment of recurrentcontracture deformity. Furthermore, intravesical instillation of various anti‑inflammatory drugs and cytostatics can be promising directionsin the treatment and prevention of BNC.
Добавил в систему: Аббосов Шухрат Анварович

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Bladder Neck Contracture as a Complication of Prostate Surgery: Alternative Treatment Methods and Prospects (Literature Review)статья

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