George Huang1, Herbert Lepor. 1. Department of Urology, New York University School of Medicine, New York, NY 10016, USA.
Abstract
OBJECTIVE: To determine the rate of anastomotic stricture (AS) after radical retropubic prostatectomy (RRP) performed by one experienced surgeon, and to identify factors predisposing to its formation. PATIENTS AND METHODS: In all, 708 men were prospectively monitored for the development of AS after RRP. Potential risk factors for AS were analysed. RESULTS: There were no significant differences in age, Gleason score, nerve-sparing status, intraoperative blood loss, degree of extravasation on initial cystography, or duration of the indwelling urinary catheter between men who developed AS and men who did not. The mean postoperative blood loss was significantly higher in men who developed AS. The incidence of AS was also significantly higher in men whose bladder necks were reconstructed more narrowly. CONCLUSION: The amount of bleeding and the calibre of the reconstructed bladder neck were significantly associated with AS formation after RRP. The development of a haematoma from bleeding might explain the increased likelihood of AS. The mechanism of AS formation is unrelated to the degree of urinary extravasation on cystography, providing that a urinary catheter is left indwelling until extravasation resolves.
OBJECTIVE: To determine the rate of anastomotic stricture (AS) after radical retropubic prostatectomy (RRP) performed by one experienced surgeon, and to identify factors predisposing to its formation. PATIENTS AND METHODS: In all, 708 men were prospectively monitored for the development of AS after RRP. Potential risk factors for AS were analysed. RESULTS: There were no significant differences in age, Gleason score, nerve-sparing status, intraoperative blood loss, degree of extravasation on initial cystography, or duration of the indwelling urinary catheter between men who developed AS and men who did not. The mean postoperative blood loss was significantly higher in men who developed AS. The incidence of AS was also significantly higher in men whose bladder necks were reconstructed more narrowly. CONCLUSION: The amount of bleeding and the calibre of the reconstructed bladder neck were significantly associated with AS formation after RRP. The development of a haematoma from bleeding might explain the increased likelihood of AS. The mechanism of AS formation is unrelated to the degree of urinary extravasation on cystography, providing that a urinary catheter is left indwelling until extravasation resolves.
Authors: Giuseppe Mucciardi; Alessandro Galì; Antonino Inferrera; Antonina Di Benedetto; Luciano Macchione; Massimo Mucciardi; Carlo Magno Journal: Int Urol Nephrol Date: 2013-04-17 Impact factor: 2.370
Authors: Christoph Philip Reiss; Daniel Pfalzgraf; Luis Alex Kluth; Armin Soave; Margit Fisch; Roland Dahlem Journal: World J Urol Date: 2013-10-29 Impact factor: 4.226
Authors: Gita M Schoeppler; Dirk Zaak; Dirk-Andre Clevert; Petra Schuhmann; Oliver Reich; Michael Seitz; Wael Y Khoder; Michael Staehler; Christian G Stief; Alexander Buchner Journal: Int Urol Nephrol Date: 2012-05-15 Impact factor: 2.370
Authors: Luigi Cormio; Giuseppe Di Fino; Carmen Scavone; Domenico Maroscia; Vito Mancini; Nicola Ruocco; Francesco Bellanti; Oscar Selvaggio; Francesca Sanguedolce; Giuseppe Lucarelli; Giuseppe Carrieri Journal: Medicine (Baltimore) Date: 2016-04 Impact factor: 1.889