Obliterative vesicourethral strictures following radical prostatectomy for prostate cancer: Reconstructive armamentarium

Hunter Wessells, Allen F. Morey, Jack W. McAninch

Research output: Contribution to journalArticle

61 Scopus citations

Abstract

Purpose: We report the reconstructive techniques used to correct obliterative vesicourethral strictures related to prostate cancer surgery. Materials and Methods: Four men with anastomotic obliteration after radical prostatectomy underwent primary excision with end-to-end anastomosis, penile fasciocutaneous flap, free-graft urethroplasty with rectus muscle flap or anterior bladder tube with omental pedicle flap procedure. Results: At mean followup of 33.8 months all patients had urethral patency but none was continent. Conclusions: Single stage reconstruction of the obliterated vesicourethral anastomosis after prostatectomy successfully restored urethral patency. No technique was applicable in all cases. Sphincteric function is likely to be compromised after the primary procedure, resulting in incontinence after successful urethral reconstruction. Subsequent artificial sphincter placement appears to be safe and helpful in restoring continence.

Original languageEnglish (US)
Pages (from-to)1373-1375
Number of pages3
JournalJournal of Urology
Volume160
Issue number4
DOIs
StatePublished - Oct 1998

Keywords

  • Anastomosis surgical
  • Prostatectomy
  • Urethra

ASJC Scopus subject areas

  • Urology

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