Bladder Neck Reconstruction
Bladder neck reconstruction addresses contracture or obliteration of the bladder neck resulting from prior radical prostatectomy, radiation therapy, or trauma. Techniques range from endoscopic incision or dilation to open Y-V plasty and augmentation with buccal mucosal grafts or flaps to create a patent bladder outlet. Reconstruction in the irradiated field carries substantially higher complication rates and may require augmentation cystoplasty or urinary diversion in refractory cases.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Wessells H, McAninch JW. "Effect of coital injuries on the treatment of posterior urethral disruption." J Urol. 1997;157(1):84–7. PMID: 8976222
- Mundy AR, Andrich DE. "Posterior urethral complications of the treatment of prostate cancer." BJU Int. 2012;110(3):304–25. PMID: 22188774