Robotic YV plasty outcomes for bladder neck contracture vs. vesico-urethral anastomotic stricture.
Bladder neck contracture
Reconstruction
Robot
Urethral stricture
Journal
World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716
Informations de publication
Date de publication:
20 Mar 2024
20 Mar 2024
Historique:
received:
06
08
2023
accepted:
16
01
2024
medline:
20
3
2024
pubmed:
20
3
2024
entrez:
20
3
2024
Statut:
epublish
Résumé
To compare the outcomes of patients undergoing robotic YV plasty for bladder neck contracture (BNC) vs. vesico-urethral anastomotic stricture (VUAS). A retrospective study included male patients who underwent robotic YV plasty for BNC after endoscopic treatment of BPH or VUAS between August 2019 and March 2023 at a single academic center. The primary assessed was the patency rate at 1 month post-YV plasty and during the last follow-up visit. A total of 21 patients were analyzed, comprising 6 in the VUAS group and 15 in the BNC group. Patients with VUAS had significantly longer operative times (277.5 vs. 146.7 min; p = 0.008) and hospital stay (3.2 vs. 1.7 days; p = 0.03). Postoperative complications were more common in the VUAS group (66.7% vs. 26.7%; p = 0.14). All patients resumed spontaneous voiding postoperatively. Five patients (23.8%) who developed de novo stress urinary incontinence had already an AUS (n = 1) or required concomitant AUS implantation (n = 3), all of whom were in the VUAS group (83.3% vs. 0%; p < 0.0001). The proportion of patients improved was similar in both groups (PGII = 1 or 2: 83.3% vs. 80%; p = 0.31). Stricture recurrence occurred in 9.5% of patients in the whole cohort, with no significant difference between the groups (p = 0.50). Long-term reoperation was required in three VUAS patients, showing a statistically significant difference between the groups (p = 0.05). Robotic YV plasty is feasible for both VUAS and BNC. While functional outcomes and stricture-free survival may be similar for both conditions, the perioperative outcomes were less favorable for VUAS patients.
Identifiants
pubmed: 38506927
doi: 10.1007/s00345-024-04814-8
pii: 10.1007/s00345-024-04814-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
172Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Rocco NR, Zuckerman JM (2017) An update on best practice in the diagnosis and management of post-prostatectomy anastomotic strictures. Ther Adv Urol 9(5):99–110. https://doi.org/10.1177/1756287217701391
doi: 10.1177/1756287217701391
pubmed: 28588647
pmcid: 5444622
Abranches-Monteiro L, Hamid R, D’Ancona C et al (2020) The International Continence Society (ICS) report on the terminology for male lower urinary tract surgery. Neurourol Urodyn 39(8):2072–2088. https://doi.org/10.1002/nau.24509
doi: 10.1002/nau.24509
pubmed: 33045121
Cindolo L, Marchioni M, Emiliani E et al (2017) Bladder neck contracture after surgery for benign prostatic obstruction. Minerva Urol Nephrol. https://doi.org/10.23736/S0393-2249.16.02777-6
doi: 10.23736/S0393-2249.16.02777-6
Sayedahmed K, El Shazly M, Olianas R, Kaftan B, Omar M (2019) The outcome of Y-V plasty as a final option in patients with recurrent bladder neck sclerosis following failed endoscopic treatment. Cent Eur J Urol. https://doi.org/10.5173/ceju.2019.1977
doi: 10.5173/ceju.2019.1977
Sikafi Z, Butler MR, Lane V, O’Flynn JD, Fitzpatrick JM (1985) Bladder neck contracture following prostatectomy. Br J Urol 57(3):308–310. https://doi.org/10.1111/j.1464-410X.1985.tb06351.x
doi: 10.1111/j.1464-410X.1985.tb06351.x
pubmed: 4005500
Webb DR, Sethi K, Gee K (2009) An analysis of the causes of bladder neck contracture after open and robot-assisted laparoscopic radical prostatectomy. BJU Int 103(7):957–963. https://doi.org/10.1111/j.1464-410X.2008.08278.x
doi: 10.1111/j.1464-410X.2008.08278.x
pubmed: 19076148
Besarani D, Amoroso P, Kirby R (2004) Bladder neck contracture after radical retropubic prostatectomy. BJU Int 94(9):1245–1247. https://doi.org/10.1111/j.1464-410X.2004.05151.x
doi: 10.1111/j.1464-410X.2004.05151.x
pubmed: 15610098
Vanni AJ, Zinman LN, Buckley JC (2011) Radial urethrotomy and intralesional mitomycin C for the management of recurrent bladder neck contractures. J Urol 186(1):156–160. https://doi.org/10.1016/j.juro.2011.03.019
doi: 10.1016/j.juro.2011.03.019
pubmed: 21575962
Bach T, Herrmann TRW, Cellarius C, Gross AJ (2007) Bladder neck incision using a 70 W 2 micron continuous wave laser (RevoLix). World J Urol 25(3):263–267. https://doi.org/10.1007/s00345-007-0169-4
doi: 10.1007/s00345-007-0169-4
pubmed: 17473926
Liu Z, Huang G, Zhou N, Man L (2022) Modified cystoscopy-assisted laparoscopic Y-V plasty for recalcitrant bladder neck contracture. Minim Invasive Ther Allied Technol 31(2):185–190. https://doi.org/10.1080/13645706.2020.1786705
doi: 10.1080/13645706.2020.1786705
pubmed: 32628075
Abo Youssef N, Obrecht F, Padevit C, Brachlow J, John H (2023) Short and intermediate-term outcome of robot-assisted inverted YV-plasty for recurrent bladder neck stenosis—a single centre study. Urology. https://doi.org/10.1016/j.urology.2023.02.011
doi: 10.1016/j.urology.2023.02.011
pubmed: 36828264
Granieri MA, Weinberg AC, Sun JY, Stifelman MD, Zhao LC (2018) Robotic Y-V plasty for recalcitrant bladder neck contracture. Urology 117:163–165. https://doi.org/10.1016/j.urology.2018.04.017
doi: 10.1016/j.urology.2018.04.017
pubmed: 29729365
Young BW (1953) The retropubic approach to vesical neck obstruction in children. Surg Gynecol Obstet 96(2):150–154
pubmed: 13015363
Clavien PA, Barkun J, De Oliveira ML et al (2009) The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 250(2):187–196. https://doi.org/10.1097/SLA.0b013e3181b13ca2
doi: 10.1097/SLA.0b013e3181b13ca2
pubmed: 19638912
Beck V, Apfelbeck M, Chaloupka M, Kretschmer A, Strittmatter F, Tritschler S (2018) Die Striktur der vesikourethralen anastomose nach radikaler prostatektomie. Urologe 57(1):29–33. https://doi.org/10.1007/s00120-017-0550-x
doi: 10.1007/s00120-017-0550-x
Sun X, Jin X, Leng K, Zhao Y, Zhang H (2022) 180-W GreenLight laser photoselective vaporization with multiple triamcinolone acetonide injections for the treatment of bladder neck contractures. Lasers Med Sci 37(8):3115–3121. https://doi.org/10.1007/s10103-022-03568-2
doi: 10.1007/s10103-022-03568-2
pubmed: 35499743
Reiss CP, Rosenbaum CM, Becker A et al (2016) The T-plasty: a modified YV-plasty for highly recurrent bladder neck contracture after transurethral surgery for benign hyperplasia of the prostate: clinical outcome and patient satisfaction. World J Urol 34(10):1437–1442. https://doi.org/10.1007/s00345-016-1779-5
doi: 10.1007/s00345-016-1779-5
pubmed: 26873595
Shu HQ, Wang L, Jin CR, Hu XY, Gu J, Sa YL (2019) Laparoscopic T-Plasty for the treatment of refractory bladder neck stenosis. Am J Mens Health 13(5):155798831987351. https://doi.org/10.1177/1557988319873517
doi: 10.1177/1557988319873517
Popov SV, Orlov IN, Tsoy AV, Topuzov TM, Chernysheva DYu (2022) YV-plasty in the treatment of patients with recurrent bladder neck stenosis. Vestn Urol. https://doi.org/10.21886/2308-6424-2022-10-1-52-59
doi: 10.21886/2308-6424-2022-10-1-52-59
Shakir NA, Alsikafi NF, Buesser JF et al (2022) Durable treatment of refractory vesicourethral anastomotic stenosis via robotic-assisted reconstruction: a trauma and urologic reconstructive network of surgeons study. Eur Urol 81(2):176–183. https://doi.org/10.1016/j.eururo.2021.08.013
doi: 10.1016/j.eururo.2021.08.013
pubmed: 34521553
Matsushita K, Ginsburg L, Mian BM et al (2012) Pubovesical fistula: a rare complication after treatment of prostate cancer. Urology 80(2):446–451. https://doi.org/10.1016/j.urology.2012.04.036
doi: 10.1016/j.urology.2012.04.036
pubmed: 22698471
Kirshenbaum EJ, Zhao LC, Myers JB et al (2018) Patency and incontinence rates after robotic bladder neck reconstruction for Vesicourethral anastomotic stenosis and recalcitrant bladder neck contractures: the trauma and urologic reconstructive network of surgeons experience. Urology 118:227–233. https://doi.org/10.1016/j.urology.2018.05.007
doi: 10.1016/j.urology.2018.05.007
pubmed: 29777787
Basiri A, Shadpour P, Moradi M, Ahmadinia H, Madaen K (2002) Symphysiotomy: a viable approach for delayed management of posterior urethral injuries in children. J Urol. https://doi.org/10.1097/01.ju.0000033912.05183.c3
doi: 10.1097/01.ju.0000033912.05183.c3
pubmed: 12394751
Webster GD, Peterson AC (2015) Simple perineal and elaborated perineal posterior urethroplasty. Arab J Urol 13(1):17–23. https://doi.org/10.1016/j.aju.2015.01.002
doi: 10.1016/j.aju.2015.01.002
pubmed: 26019973
pmcid: 4435758
Mutelica L, DeCian M, Tricard T, Severac F, Saussine C (2020) Impact des autodilatations urétrales sur la morbidité du sphincter urinaire artificiel, après le traitement endoscopique de la récidive de sténose de l’anastomose vesico-uretrale. Prog En Urol 30(6):304–311. https://doi.org/10.1016/j.purol.2020.03.008
doi: 10.1016/j.purol.2020.03.008
Kevin K, Peterson AC (2023) Bladder neck contractures stabilize after placement of the artificial urinary sphincter. J Urol. https://doi.org/10.1097/JU.0000000000003194
doi: 10.1097/JU.0000000000003194
Shamout S, Yao HHI, Mossa AH, Carlson KV, Baverstock RJ (2022) Persistent storage symptoms following Y-V plasty reconstruction for the treatment of refractory bladder neck contracture. Neurourol Urodyn 41(5):1082–1090. https://doi.org/10.1002/nau.24941
doi: 10.1002/nau.24941
pubmed: 35481590