SIU-WJU Article of the Month – October 2017
Is T the new Y-V for bladder neck stenosis?
SIU Academy®. Zuckerman J. 10/01/17; 203496
Topic: TreatmentIs T the new Y-V for bladder neck stenosis?
CLICK HERE TO LOGIN
REGULAR CONTENT
REGULAR CONTENT
Login now to access Regular content available to all registered users.
To have an exclusive access to the entire content available on SIU Academy, become an SIU Member here.
To have an exclusive access to the entire content available on SIU Academy, become an SIU Member here.
Abstract
Discussion Forum (0)
Rate & Comment (0)
Purpose
To determine success rate (SR), functional outcome, and patient satisfaction of a modified YV-plasty for reconstruction of the bladder neck in case of recurrent bladder neck stenosis (BNS) after transurethral surgery of the prostate: the T-plasty.
Patients and methods
We identified all patients who underwent T-plasty at our center between December 2008 and July 2016. Patients’ charts were reviewed. Patients were queried by telephone and by mail at time of follow-up (FU). Primary endpoint was SR. Secondary endpoints were complications, continence, satisfaction, and changes in quality of life measured by validated questionnaires.
Results
Thirty patients underwent the T-plasty. Median age at surgery was 69 (IQR 62–73) years. Most patients had BNS due to TUR-P [n = 25 (83.3%)]. No severe blood loss or severe complications occurred perioperatively. Median FU was 45 (IQR 18–64) months. Three patients were lost to FU. Success rate was 100%. Compared to pre-OP Qmax, mean Qmax post-OP improved significantly [pre-OP 6.79 (SD ± 4.76) ml/s vs post-OP was 24.42 (SD ± 12.61) ml/s; (t(5) = 4.12, p = 0.009)]. Mean post-void residual urine decreased significantly [pre-OP 140.77 (SD ± 105.41) ml vs post-OP 14.5 (SD ± 22.42) ml; (t(9) = −3.86, p = 0.004)]. One patient developed a de-novo-incontinence post-OP. Mean ICIQ-SF Score was 1.2 (SD ± 2.27). 88.5% of patients were pleased or delighted by surgery. 75% of patients claimed their quality of life has been (strongly) improved.
Conclusion
The T-plasty is a valuable option as treatment of recurrent BNS. SR, rates of continence, and high patient satisfaction are very encouraging.
Keywords
Benign hyperplasia of the prostate | Bladder neck | Bladder neck stenosis | Reconstructive urology | TUR-P
Clemens M. Rosenbaum and Roland Dahlem have contributed equally.
To determine success rate (SR), functional outcome, and patient satisfaction of a modified YV-plasty for reconstruction of the bladder neck in case of recurrent bladder neck stenosis (BNS) after transurethral surgery of the prostate: the T-plasty.
Patients and methods
We identified all patients who underwent T-plasty at our center between December 2008 and July 2016. Patients’ charts were reviewed. Patients were queried by telephone and by mail at time of follow-up (FU). Primary endpoint was SR. Secondary endpoints were complications, continence, satisfaction, and changes in quality of life measured by validated questionnaires.
Results
Thirty patients underwent the T-plasty. Median age at surgery was 69 (IQR 62–73) years. Most patients had BNS due to TUR-P [n = 25 (83.3%)]. No severe blood loss or severe complications occurred perioperatively. Median FU was 45 (IQR 18–64) months. Three patients were lost to FU. Success rate was 100%. Compared to pre-OP Qmax, mean Qmax post-OP improved significantly [pre-OP 6.79 (SD ± 4.76) ml/s vs post-OP was 24.42 (SD ± 12.61) ml/s; (t(5) = 4.12, p = 0.009)]. Mean post-void residual urine decreased significantly [pre-OP 140.77 (SD ± 105.41) ml vs post-OP 14.5 (SD ± 22.42) ml; (t(9) = −3.86, p = 0.004)]. One patient developed a de-novo-incontinence post-OP. Mean ICIQ-SF Score was 1.2 (SD ± 2.27). 88.5% of patients were pleased or delighted by surgery. 75% of patients claimed their quality of life has been (strongly) improved.
Conclusion
The T-plasty is a valuable option as treatment of recurrent BNS. SR, rates of continence, and high patient satisfaction are very encouraging.
Keywords
Benign hyperplasia of the prostate | Bladder neck | Bladder neck stenosis | Reconstructive urology | TUR-P
Clemens M. Rosenbaum and Roland Dahlem have contributed equally.
Purpose
To determine success rate (SR), functional outcome, and patient satisfaction of a modified YV-plasty for reconstruction of the bladder neck in case of recurrent bladder neck stenosis (BNS) after transurethral surgery of the prostate: the T-plasty.
Patients and methods
We identified all patients who underwent T-plasty at our center between December 2008 and July 2016. Patients’ charts were reviewed. Patients were queried by telephone and by mail at time of follow-up (FU). Primary endpoint was SR. Secondary endpoints were complications, continence, satisfaction, and changes in quality of life measured by validated questionnaires.
Results
Thirty patients underwent the T-plasty. Median age at surgery was 69 (IQR 62–73) years. Most patients had BNS due to TUR-P [n = 25 (83.3%)]. No severe blood loss or severe complications occurred perioperatively. Median FU was 45 (IQR 18–64) months. Three patients were lost to FU. Success rate was 100%. Compared to pre-OP Qmax, mean Qmax post-OP improved significantly [pre-OP 6.79 (SD ± 4.76) ml/s vs post-OP was 24.42 (SD ± 12.61) ml/s; (t(5) = 4.12, p = 0.009)]. Mean post-void residual urine decreased significantly [pre-OP 140.77 (SD ± 105.41) ml vs post-OP 14.5 (SD ± 22.42) ml; (t(9) = −3.86, p = 0.004)]. One patient developed a de-novo-incontinence post-OP. Mean ICIQ-SF Score was 1.2 (SD ± 2.27). 88.5% of patients were pleased or delighted by surgery. 75% of patients claimed their quality of life has been (strongly) improved.
Conclusion
The T-plasty is a valuable option as treatment of recurrent BNS. SR, rates of continence, and high patient satisfaction are very encouraging.
Keywords
Benign hyperplasia of the prostate | Bladder neck | Bladder neck stenosis | Reconstructive urology | TUR-P
Clemens M. Rosenbaum and Roland Dahlem have contributed equally.
To determine success rate (SR), functional outcome, and patient satisfaction of a modified YV-plasty for reconstruction of the bladder neck in case of recurrent bladder neck stenosis (BNS) after transurethral surgery of the prostate: the T-plasty.
Patients and methods
We identified all patients who underwent T-plasty at our center between December 2008 and July 2016. Patients’ charts were reviewed. Patients were queried by telephone and by mail at time of follow-up (FU). Primary endpoint was SR. Secondary endpoints were complications, continence, satisfaction, and changes in quality of life measured by validated questionnaires.
Results
Thirty patients underwent the T-plasty. Median age at surgery was 69 (IQR 62–73) years. Most patients had BNS due to TUR-P [n = 25 (83.3%)]. No severe blood loss or severe complications occurred perioperatively. Median FU was 45 (IQR 18–64) months. Three patients were lost to FU. Success rate was 100%. Compared to pre-OP Qmax, mean Qmax post-OP improved significantly [pre-OP 6.79 (SD ± 4.76) ml/s vs post-OP was 24.42 (SD ± 12.61) ml/s; (t(5) = 4.12, p = 0.009)]. Mean post-void residual urine decreased significantly [pre-OP 140.77 (SD ± 105.41) ml vs post-OP 14.5 (SD ± 22.42) ml; (t(9) = −3.86, p = 0.004)]. One patient developed a de-novo-incontinence post-OP. Mean ICIQ-SF Score was 1.2 (SD ± 2.27). 88.5% of patients were pleased or delighted by surgery. 75% of patients claimed their quality of life has been (strongly) improved.
Conclusion
The T-plasty is a valuable option as treatment of recurrent BNS. SR, rates of continence, and high patient satisfaction are very encouraging.
Keywords
Benign hyperplasia of the prostate | Bladder neck | Bladder neck stenosis | Reconstructive urology | TUR-P
Clemens M. Rosenbaum and Roland Dahlem have contributed equally.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}