Therapeutic Approaches to Postoperative Contracture of the Vesical Neck

Summary

Postoperative contracture is a rare cause of the secondary obstructions of the vesical neck, besides remnants of prostatic adenomas, recurrent adenoma and prostatic cancer. It appears morphologically either as circumscribed sclerosis, as so-called sphincter sclerosis, or as extensive contracture of the entire prostatic urethra. Severe postoperative contracture with an iris-shaped membrane at the site of the internal sphincter is the most frequent form up to one year after primary surgery. The overall incidence has been given as 1.37 %, of which 13.6 % were refractory to therapy and recurred. Special forms of therapy are discussed.

Key words:

Therapeutic approaches - Postoperative contracture - Vesical neck