Management of infravesical strictures after radical retropubic prostatectomy

Prostate cancer is considered as one of the most important health problem affecting male poupulation. RP is a common treatment for patients with clinically localised prostate cancer (cT1-cT2) and life expectancy > 10 yr. Bladder neck contractures and vesicourethral anastomotic strictures following radical prostatectomy are not rare problems. Recurrent and recalcitrant bladder neck contractures pose a difficult management dilemma for urologists. Bladder neck contractures following radical prostatectomy can be treated with dilatation and with self-catheterization if necessary. Cold knife or laser incison of stricture is highly successfull when dilatation is not appropriate. Although the high recurrence and complication rates, stent placement may be considered in recurrent strictures that are resistant to dilatation, incision and excision, before open surgery. Open surgical repair can be planned with experienced hands in incurable patients.