Universität zu Köln

Pfister, D., Epplen, R., Porres-Knoblauch, D. and Heidenreich, A. (2011). Possibilities for surgical correction of an anastomotic stricture after radical prostatectomy. Urologe, 50 (11). S. 1392 - 1395. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0563

Full text not available from this repository.

Abstract

Background. Anastomotic strictures following radical prostatectomy for prostate cancer are reported in about 1-8% of all patients. Endourologic management usually does not result in very high cure rates but is associated with very high rates of recurrences. There is no standard management of these postoperative long-term complications and quite often the patient ends up having a transurethral or suprapubic catheter as a simple long-term solution. Results. Twenty-four patients with recurrent anastomotic strictures and a mean of 3.5 (2-9) previous transurethral surgical interventions were operated between 2004 and 2011. All patients underwent perineal bladder neck closure and a continent vesicostomy with either an appendiceal or an ileal stoma implanted in the bladder. The mean OR time was 125 (100-195) min, and the mean time of hospitalisation was 12.5 (9-27) days. There were no significant intra- or perioperative complications. Three patients developed a significant urinary tract infection, two patients had to be treated for the development of a paralytic ileus and one patient needed to undergo revision surgery for a urethral fistula. After a mean follow-up of 37 (10-78) months, two patients developed a stomal stenosis which was corrected surgically. Conclusions. Based on our experience, bladder neck closure and continent vesicostomy represent a valuable therapeutic option in the management of recurrent anastomotic strictures following radical prostatectomy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pfister, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Epplen, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Porres-Knoblauch, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heidenreich, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-486255
DOI:	10.1007/s00120-011-2716-2
Journal or Publication Title:	Urologe
Volume:	50
Number:	11
Page Range:	S. 1392 - 1395
Date:	2011
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0563
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language URETHRAL STRICTURES; RECURRENT; MANAGEMENT; SPHINCTER; CANCER; STENT Multiple languages Urology & Nephrology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48625