Post-Radical-Prostatectomy Urinary Incontinence: The Management of Concomitant Bladder Neck Contracture

Table 1

Endoscopic management of postprostatectomy bladder neck contracture.

Authors	Year	𝑛	Technique	Results
Surya et al. [7]	1990	18	Dilation with sounds followed by cold knife incision unsuccessful after 6 months	28% managed with dilation alone; Single CKI effective in 62%
Ramchandani et al. [22]	1994	27	Transurethral balloon dilation	Successful in 59%
Popken et al. [6]	1998	15	Electrocautery resection	53% required >1 procedure
Yurkanin et al. [23]	2001	36	Cold incision at 4 and 8 o’clock	Repeat procedure required treatment in 17%.
Park et al. [18]	2001	26	Dilation over wire followed by CISC for 3 months	92% managed with successfully; 27% require ≥2 dilations in 12 months
Giannarini et al. [20]	2007	43	Dilation followed by cold incision at 4, 8 and 12 o’clock	7% managed with dilation only; 26% recurrence after incision
Eltahawy et al. [24]	2008	24	Holmium laser incision at 3 and 9 o’clock + steroid injection	83% patent bladder neck at 24 months; 29% require 2nd procedure
Vanni et al. [25]	2011	18	Cold incision + mitomycin injection	72% patent at 12 months after single procedure