Primiceri Giulia, Castellan Pietro, Marchioni Michele, Schips Luigi, Cindolo Luca
Department of Urology, University G. D'Annunzio, Chieti, Italy.
Department of Urology, ASL02 Abruzzo, Via dei Vestini, 66100, Chieti, Italy.
Curr Urol Rep. 2017 Aug 9;18(10):79. doi: 10.1007/s11934-017-0723-6.
In recent years, new endoscopic techniques have been developed to reduce the morbidity of transurethral resection of the prostate. Nonetheless, complications are still frequently encountered and bladder neck contracture (BNC) is a well-described complication after endoscopic surgery for benign prostatic obstruction (BPO). Our aim is to review and discuss the contemporary incidence, the relevant treatment strategies, and their outcomes.
Findings suggest that BNC is a common complication with an acceptably low incidence but can range in complexity. Most contractures were usually managed successfully with conservative measures; nevertheless, in patients with refractory BNC, various valuable management strategies were employed with different kinds of success and re-treatment rates. In consideration of these challenging possibilities, the treatment of BNC requires a tailored approach with patient-specific management that can range from simple procedures to complex surgical reconstruction.
近年来，已开发出新的内镜技术以降低经尿道前列腺切除术的发病率。尽管如此，并发症仍经常出现，膀胱颈挛缩（BNC）是良性前列腺梗阻（BPO）内镜手术后一种广为人知的并发症。我们的目的是回顾和讨论当代的发病率、相关治疗策略及其结果。
研究结果表明，BNC是一种常见并发症，发病率较低但可呈不同程度的复杂性。大多数挛缩通常通过保守措施成功处理；然而，对于难治性BNC患者，采用了各种有价值的管理策略，取得了不同程度的成功且再治疗率各异。考虑到这些具有挑战性的可能性，BNC的治疗需要采用个性化方法，根据患者具体情况进行管理，范围可从简单手术到复杂的手术重建。
