Postprostatectomy Anastomosis Stenosis: A Systematic Review - 21/08/15
Doi : 10.1016/j.urology.2015.02.073
Joseph Song a, Jairam Eswara b, Steven B. Brandes a, ⁎ 
a Division of Urologic Surgery, Washington University School of Medicine, St. Louis, MO
b Division of Urologic Surgery, Brigham and Women's Hospital, Boston, MA
∗Address correspondence to: Steven B. Brandes, M.D., Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, 4960 Children's Place, Campus Box 8242, St. Louis, MO 63110.
Abstract |
Anastomotic strictures (AS) are uncommon but a vexing problem after radical prostatectomy. We reviewed the literature for AS treatment modalities to summarize the best management strategies for AS, as supported by current evidence. Twenty studies fit the inclusion and exclusion criteria. Weighted success rates and incontinence rates were calculated and used to create a treatment algorithm. Repeat attempts of minimally invasive methods seem to improve the success rate. Repeat procedures and more invasive techniques, however, may lead to higher incontinence rates.
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| Financial Disclosure: Steven Brandes is on the speakers' bureau of AMS and is an investigator with Allergen. The other authors declare that they have no relevant financial interests. |
© 2015
Elsevier Inc. Tous droits réservés.
Vol 86 - N° 2
P. 211-219 - août 2015 Retour au numéro
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