ArticleUrology2021
Transurethral Incision with Transverse Mucosal Realignment for the Management of Bladder Neck Contracture and Vesicourethral Anastomotic Stenosis.
Article in Urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed, 23 citations in OpenAlex.
- Imagining the future: the five "Laws" of endourethroplasty.International urology and nephrology · 2025Article
- Detailed surgical technique for endoscopic urethroplasty in the treatment of anastomotic stenosis and bladder neck contracture.Translational andrology and urology · 2025Article
- Urethral stricture in a 46,XX male with congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency: A literature review and case report.Urology case reports · 2025Article
- Bladder neck contracture: incidence, mechanisms, and therapeutic advances.Annals of medicine and surgery (2012) · 2025Review
- Contemporary management of radiation-associated posterior urethral stenosis: a narrative review.Translational andrology and urology · 2025Review
- Robot-assisted reconstruction of posterior urethral stenosis: surgical techniques, graft use, and clinical outcomes.Translational andrology and urology · 2025Review
- Long-Term outcomes of subtrigonal inlay patch in case series - Buccal mucosal graft technique for recurrent bladder neck stenosis.BMC urology · 2025Article
- Management of vesicourethral anastomotic stenosis.Translational andrology and urology · 2025Review
- Current management strategies for bladder neck stenosis and vesicourethral anastomotic stenosis.Translational andrology and urology · 2025Review
- Surgical management of vesicourethral anastomotic stenosis.Investigative and clinical urology · 2025Review
- Endoscopic buccal urethroplasty for membranous stricture disease.Translational andrology and urology · 2025Article
- A review of management options for vesicourethral anastomotic stenosis and the emergence of robotic reconstruction.Translational andrology and urology · 2025Review
- The efficacy of star-like mapping incision on vesicourethral anastomotic stenosis after radical prostatectomy and cystectomy.World journal of urology · 2025Observational
- Robotic reconstruction of complex bladder neck stenosis: Single-centre experience with three techniques.BJUI compass · 2025Article
- Artificial urinary sphincter and stricture disease: surgical principles in management.Translational andrology and urology · 2024Review
- Management of the Devastated Bladder Outlet after Prostate CANCER Treatment.Current urology reports · 2024Review
- Pelvic radiation-induced urinary strictures: etiology and management of a challenging disease.World journal of urology · 2023Review
- Refractory Bladder Neck Contracture (BNC) After Radical Prostatectomy: Prevalence, Impact and Management Challenges.Research and reports in urology · 2023Review
- Surgical Complications in the Management of Benign Prostatic Hyperplasia Treatment.Current urology reports · 2022Review
- Endoscopic management of vesicourethral anastomotic stenosis after radical prostatectomy: final outcomes defined by urethral patency and continence.Therapeutic advances in urologyArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess efficacy and safety of a novel cystoscopic technique for definitive repair of bladder neck contracture (BNC) and vesicourethral anastomotic stenosis (VUAS).
methodsA retrospective review of patients who underwent a transurethral incision with transverse mucosal realignment between July 2019 and December 2020 by a single surgeon was completed. This is novel procedure of incising a scar cystoscopically and using a laparoscopic suturing device transurethrally to bring healthy bladder mucosa across the defect, like a YV plasty. Patients were only included if they had ≥4 months follow-up. Surgical success was defined as ability to pass a 17 French flexible cystoscope through the previously stenotic segment at 4 month follow up.
resultsNineteen patients with a median follow-up of 6 months were included in this analysis. Etiology of posterior urethral stenosis was 53% from VUAS and 47% from BNC, with 32% of patients having prior pelvic radiation. Success was achieved in 89% of patients after 1 procedure and 100% of patients achieved success after a second procedure. There was no de novo incontinence or major complications.
conclusionTransurethral incision with transverse mucosal realignment for VUAS and BNC has a high success rate after only 1 procedure. This is the first reported series of an endoscopic Y-V plasty type repair for BNC and VUAS. Longer term follow up to ensure durability and reporting from other institutions will be needed to establish reproducibility.
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