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The Outcome of Y-V As A Final Option in Patients With Recurrent Neck Sclerosis Following Failed Endoscopic Treatment

1) The document discusses Y-V plasty as a treatment option for patients with recurrent bladder neck sclerosis following failed endoscopic treatments like transurethral resection of the prostate (TURP). 2) It retrospectively evaluated 24 patients who underwent Y-V plasty surgery between 2007-2014 at a single center by the same surgeon. 3) The results found that after a mean follow up of 46 months, patients' mean urine flow rate increased to 16.4 ml/s while residual urine volume decreased to 18 ml, with 94.1% of patients reporting satisfactory results and improved quality of life. Y-V plasty provided an effective final treatment option with a high success rate for

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Mohamed Kamal
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39 views1 page

The Outcome of Y-V As A Final Option in Patients With Recurrent Neck Sclerosis Following Failed Endoscopic Treatment

1) The document discusses Y-V plasty as a treatment option for patients with recurrent bladder neck sclerosis following failed endoscopic treatments like transurethral resection of the prostate (TURP). 2) It retrospectively evaluated 24 patients who underwent Y-V plasty surgery between 2007-2014 at a single center by the same surgeon. 3) The results found that after a mean follow up of 46 months, patients' mean urine flow rate increased to 16.4 ml/s while residual urine volume decreased to 18 ml, with 94.1% of patients reporting satisfactory results and improved quality of life. Y-V plasty provided an effective final treatment option with a high success rate for

Uploaded by

Mohamed Kamal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The outcome of Y-V plasty as a final option in patients with

recurrent bladder neck sclerosis following failed endoscopic


treatment
K. Sayedahmed1, M. El Shazly1, B. Kaftan2, R. Olianas2 and Mohamed Omar1

1- Urology department, Menoufia University, Menoufia, Egypt

2- Lüneburg Hospital, Dept. of Urology, Lüneburg, Germany

Background:

Bladder neck sclerosis is a rare late complication of transurethral resection of the


prostate (TURP). Endoscopic resection or incision of the Bladder neck is usually
successful in the management of such cases. In some cases, even repeated
endoscopic management always followed with recurrent sclerosis. In these cases, Y-
V plasty of the bladder neck provide a final option of treatment.

Design, setting, and participants:

Retrospective evaluation of 24 patients who underwent Y-V plasty of the bladder


neck from 2007 to 2014. All patients had TURP once and presented after failed at
least 2 times of endoscopic management. The principle of this technique is to insert a
V-shaped part of the bladder wall in the fibrosed bladder neck. Patient evaluation
included measuring Q max, residual urine volume and asking about their satisfaction.
All patients were operated in the same center by the same surgeon.

Results and limitations:

The mean age of patients was 66.8 years (Range 56 -74 years). All patients
presented preoperatively with obstructive micturition with mean Q max 2.2± 1.9 ml/s
and mean residual urine volume of 381± 169 ml. After a mean follow-up of46 ± 22
Months, the mean Q max reached16.4 ± 3.3 ml/s while the mean residual urine
volume was 18 ± 6 ml. Recurrent Sclerosis occurred in three Patient (12.5%). 94.1%
of patients reported satisfactory micturition with significant improvement of quality of
life.

Conclusion:

The Y-V Plasty can provide a final option with a high success rate for patients with
bladder neck sclerosis, after TURP and failed endoscopic treatment.

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