@article{article_1640861, title={Outcomes of Transurethral Deep Lateral Incision in Bladder Neck Contractures}, journal={Aksaray Üniversitesi Tıp Bilimleri Dergisi}, volume={5}, pages={61–65}, year={2025}, author={Babayiğit, Muammer and Geyik, Serdar and Bayburtluoğlu, Veysel}, keywords={Mesane boynu darlığı, Derin lateral insizyon, Transüretral insizyon}, abstract={Outcomes of Transurethral Deep Lateral Incision in Bladder Neck Contractures
Abstract
Objective: Bladder neck contractures (BNC) are a significant complication following prostate surgeries. This study aimed to evaluate the outcomes of transurethral deep lateral incision without intralesional agents in the management of recurrent BNC and to compare the results with existing literature.
Materials and Methods: A retrospective analysis of 12 patients who underwent transurethral deep lateral incision for recurrent BNC between January 2023 and June 2024 was performed. Data collected included demographic characteristics, surgical details, and postoperative outcomes. Success was defined as the absence of dilation requirements and a lack of obstructive uroflowmetric patterns within 6 months. Complications were classified using the modified Clavien-Dindo system.
Results: The mean age of patients was 68.25 years. Etiologies included radical prostatectomy (5 patients), transurethral resection of the prostate (5 patients), and combined radical prostatectomy with radiotherapy (2 patients). The mean operative duration was 32.67 minutes, and the overall success rate was 83.3%. Two patients (16.6%) experienced recurrence requiring additional intervention. Postoperative incontinence was observed in 16.6% of cases and managed conservatively. No intralesional agents were used, and the procedure achieved comparable success rates to more complex techniques with fewer associated complications.
Conclusion: Transurethral deep lateral incision is an effective and minimally invasive technique for managing recurrent BNC, offering high success rates without the need for intralesional agents. This approach can be considered a primary treatment option before resorting to more invasive surgical methods. Keywords : Bladder neck contracture ; Deep lateral incision ; Transurethral incision}, number={2}, publisher={Aksaray Üniversitesi}