Bladder Neck Contracture Following Radical Prostatectomy

Bladder neck contracture (BNC) following radical prostatectomy can be a devastating complication if recurrent and severe. The incidence of BNC is decreasing with laparoscopic and robot-assisted radical prostatectomy and the use of a continuous sutured anastomosis appears to be responsible for this trend. While simple urethral dilation of the BNC usually manages the problem, it is important to visualize the BNC before enlisting blind techniques. Incision and resection follow failure of dilation and stents; open repair or urinary diversion are last resorts for managing the intractable BNC.