BLADDER NECK CONTRACTURE AFTER RADICAL RETROPUBIC PROSTATECTOMY: INCIDENCE AND RISK FACTORS FROM A LARGE SINGLE-SURGEON EXPERIENCE

Abstract

509 BLADDER NECK CONTRACTURE AFTER RADICAL RETROPUBIC PROSTATECTOMY: INCIDENCE AND RISK FACTORS FROM A LARGE SINGLE-SURGEON EXPERIENCE Bradley A Erickson*, Chris M Gonzalez, Kimberly A Roehl, Jessica T Casey, William J Catalona. Chicago, IL, and St. Louis, MO. INTRODUCTION AND OBJECTIVE: Bladder neck contractures (BNC) have been reported in 0.5-32% of men after radical retropubic prostatectomy (RRP). We examined a large, single-surgeon series of radical prostatectomy patients for men with post-operative bladder neck contractures (BNC). METHODS: From 1983 to 2003, 3487 men underwent radical retropubic prostatectomy (RRP) for prostate cancer by one surgeon. All patients had bladder neck reconstruction with mucosal eversion. Bladder to membranous urethral anastomosis was performed using four to eight 2-0 chromic catgut and one Monocryl suture over an 18 F foley catheter. The catheter was left in place for 10 days. Data from these men is stored in a prospective database and was reviewed in this study for men with post-operative BNC’s. Men with BNC’s (BNC+) were compared to all other men in the series (BNC-) to determine risk factors for BNC development. RESULTS: BNC’s developed in 95 patients (2.7%). Median follow-up time was 65 months (12-233). Tumor characteristics were similar in the BNC+ and BNCgroups, showing comparable rates of