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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

Journal of Medical Case Reports 1/2012

Recurrent urethrovesical anastomotic strictures following artificial urinary sphincter implantation: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2012
Autoren:
Ioannis Adamakis, Stavros I Tyritzis, Ioanna Vasileiou, Ioannis Katafigiotis, Ioannis Leotsakos, Sotiria Fergadaki, Konstantinos G Stravodimos, Constantinos A Constantinides
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-6-94) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

ST and IV drafted the manuscript and gathered patient data. ST, IA, KG analyzed and interpreted the data from our patient. IL, IK and SF followed up our patient and recorded the outcomes. IA performed the surgical operations, assisted by ST, and supervised the writing of the manuscript. CA supervised the writing of the manuscript and made critical revisions. All authors read and approved the final manuscript.

Abstract

Introduction

The management of an anastomotic stricture after a radical prostatectomy can become a complex and difficult situation when an artificial urinary sphincter precedes the formation of the stricture. The urethral narrowing does not allow the passage of the routinely used urological instruments and no previous reports have suggested alternate approaches.

Case presentation

We present the case of a 68-year-old Greek man diagnosed as having a recurrent anastomotic stricture approximately two years after a radical prostatectomy and three years after the implantation of an artificial urinary sphincter, and propose novel alternate methods of treatment. Our patient was first subjected to stricture incision with the use of a rigid ureteroscope with a holmium:yttrium-aluminium-garnet laser fiber, which was followed by a second successful attempt with the use of a pediatric resectoscope. After a one-year follow-up, our patient is doing well, with no evidence of recurrence.

Conclusions

To the best of our knowledge, this is the first report of the management of recurrent urethral strictures following an artificial urinary sphincter implantation. Minimal invasive techniques with the use of small caliber instruments may offer efficient treatment options, diminishing the danger of urethral corrosion.

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Zusatzmaterial
Authors’ original file for figure 1
13256_2011_2060_MOESM1_ESM.tiff
Authors’ original file for figure 2
13256_2011_2060_MOESM2_ESM.tiff
Authors’ original file for figure 3
13256_2011_2060_MOESM3_ESM.tiff
Literatur
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