Clinical analysis of modified YV-plasty for the treatment of recurrent bladder neck contracture
10.3760/cma.j.issn.1000-6702.2016.10.015
- VernacularTitle:改良YV型膀胱颈部重建术治疗难治性膀胱颈部挛缩的疗效分析
- Author:
Lin WANG
;
Yinglong SA
;
Chongrui JIN
;
Hailin GUO
;
Jie GU
- Publication Type:Journal Article
- Keywords:
Bladder neck reconstruction;
Bladder neck contracture(BNC);
Treatment;
Transurethral resection of prostate(TURP)
- From:
Chinese Journal of Urology
2016;37(10):786-789
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of modified YV-plasty for refractory bladder neck contracture (BNC) caused by transurethral resection of prostate (TURP).Methods From June 2013 to March 2016,11 patients with BNCs secondary to TURP were included in this study.Their mean age was 63.7 years (range,56-73 years).All patients presented voiding difficulty and failed after 2 or more prior endoscopic treatments.Modified YV-reconstruction of bladder neck was performed,by incising the anterior wall of bladder neck in a T-shaped manner,and creating two well-vascularized and tension-free flaps,which offer the possibility to reconstruct a wide bladder neck.Results After a mean follow-up of 14.6 months (ranging 3-24 months),successful outcome was achieved in 9 patients without incontinence secondary by surgery.Recurrent voiding difficulty developed in 2 patients,which was cured after a following endoscopic treatment.Conclusion A wider bladder neck can be obtained through modified YV-reconstruction of bladder neck,while avoiding external urethral sphincter injury.It is an available option for refractory bladder neck contracture.
