Management of Bladder Neck Contractures in the Elderly

Abstract

Prostate surgery for benign and malignant disease is common in the male patient greater than 60 years of age. Bladder neck contracture (BNC), a well-known complication following surgical treatment of the prostate, can range from simple lesions to complex, recalcitrant contractures that are refractory to multiple treatment modalities. The treatment of BNCs can thus vary from straightforward, office-based interventions to complex surgical reconstructions. Although numerous treatments have been described as an initial management strategy for patients with this condition, management of refractory cases requires a highly tailored approach. We review here the various therapeutic maneuvers used for the management of BNC in elderly patients.