OBJECTIVE: To assess the frequency, presentation, treatment, and outcomes of @entity1494 ( @entity1494 ) among @entity1 who had an orthotopic urinary diversion after radical cystectomy. @entity1 AND METHODS: We retrospectively examined our single-institution database of 788 @entity1 who had a radical cystectomy from 1 January 1996 to 4 January 2006 for BNC; variables evaluated included presentation, degree of @entity850 /contracture, clinical management, and outcomes after management. RESULTS: Of the 374 @entity1 who had an orthotopic urinary diversion, 11 (2.9%) @entity1 developed BNC; four @entity1494 were between 17 F and 22 F, six were <17 F, and one was pinhole-sized. Nine of the 11 @entity1 presented with voiding difficulties, one in complete retention after complicated urinary tract infection, and one with new-onset nocturnal @entity322 . The treatment of BNC included @entity384 in the clinic in six and under anaesthesia in three, and transurethral incision with a Collins knife or holmium laser in seven. After treatment, all @entity1 were instructed to use continuous intermittent catheterization (CIC). Ten @entity1 had follow-up data available after the intervention, with a mean (range) follow-up of 40.6 (10.6-98.0) months. Six @entity1 were @entity850 -free for a mean period of 35.4 (10.6-98.0) months, while four @entity1 had a recurrence within a mean of 7.4 (1.3-17.1) months. At the last follow-up, nine of the 10 @entity1 were using CIC. No @entity1 had significant daytime or night-time @entity322 after treatment. CONCLUSION: BNC develops in a small proportion of @entity1 undergoing orthotopic urinary diversion, with most @entity1 presenting with voiding difficulty. Most will require transurethral incision rather than an office-based dilatation. After endoscopic incision to correct BNC, we recommend CIC to ensure complete emptying and to maintain the patency of the anastomotic @entity850 .

Neovesical-urethral anastomotic XXXX after orthotopic urinary diversion: presentation and management.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS', 'men'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence', 'incontinence'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['BNCs', 'bladder neck contractures'] @entity384 :: ('MESH:D002311', 'Disease') :: ['cystoscopic dilatation'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stricture']
@entity850 :: (MESH:D003251,Disease) :: ['stricture']
