PURPOSE: Bladder @entity1876 after @entity263 therapy imposes a significant burden on health and quality of life in @entity1 . Our objective was to describe the burden of @entity263 therapy by detailing the type of procedures performed and how often those procedures were repeated in @entity1 with recurrent @entity1876 . MATERIALS AND METHODS: Using SEER (Surveillance, Epidemiology and End Results)-Medicare linked data from 1992 to 2007 with followup through 2009 we  identified 12,676 @entity1 who underwent at least 1 @entity1876 procedure after @entity263 therapy, including external beam radiotherapy in 3,994, brachytherapy in 1,485, brachytherapy plus external beam radiotherapy in 1,847, radical prostatectomy in 4,736, radical prostatectomy plus external beam radiotherapy in 369 and cryotherapy in 245. Histogram, incidence rates and Cox proportional hazards models with repeat events analysis were done to describe the burden of repeat @entity1876 treatments stratified by @entity263 therapy type. We describe the type of @entity1876 surgery grouped by level of invasiveness. RESULTS: At a median followup of 8.8 years 44.6% of @entity1 underwent 2 or more @entity1876 procedures. Compared to @entity1 who underwent radical prostatectomy those treated with brachytherapy and brachytherapy plus external beam radiotherapy were at increased adjusted risk for  repeat @entity1876 treatment (HR 1.2 and 1.32, respectively, each p <0.05). After stricture incision the @entity1 treated with radical prostatectomy or radical prostatectomy plus external beam radiotherapy were most likely to undergo dilation at a rate of 34.7% to 35.0%. Stricture resection/ablation was more common after brachytherapy, external beam radiotherapy or brachytherapy plus external beam radiotherapy at a rate of 28.9% to 41.2%. CONCLUSIONS: Almost half of the @entity1 with @entity263 therapy undergo more than 1 procedure. Furthermore @entity1 with @entity1876 after radiotherapy undergo more invasive endoscopic therapies and are at higher risk for multiple treatments than @entity1 with @entity1876 after radical prostatectomy.

The @entity1 Burden of Bladder XXXX Treatment.

@entity1 :: ('9606', 'Species') :: ['men'] @entity1876 :: ('MESH:D001748', 'Disease') :: ['bladder outlet obstruction', 'outlet obstruction', 'bladder outlet  obstruction'] @entity263 :: ('MESH:D011471', 'Disease') :: ['prostate cancer', 'bladder outlet obstruction after prostate cancer']
@entity263 :: (MESH:D011471,Disease) :: ['Outlet Obstruction after Prostate Cancer']
