Evaluation of perioperative risk factors for bladder neck contracture after bipolar transurethral resection of the prostate

• Published in: International urology and nephrology 2024-12, Vol.56 (12), p.3791-3796
• Main Authors: Elsherif, Eid, Salman, Baher, Abozaid, Mohammed, Badawy, Atef
• Format: Article
• Language: English
• Subjects: Aged; Bladder; Catheterization; Contracture - etiology; Humans; Intubation; Male; Medicine; Medicine & Public Health; Middle Aged; Nephrology; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Prospective Studies; Prostate; Recurrent infection; Risk Factors; Transurethral Resection of Prostate - adverse effects; Urinary Bladder Neck Obstruction - etiology; Urinary tract; Urology; Urology – Original Paper
• ISSN: 1573-2584; 0301-1623; 1573-2584
• DOI: 10.1007/s11255-024-04125-2

Purpose Bladder neck contracture after transurethral resection of the prostate is a common complication but without clear predisposing factors. In this prospective study, we evaluated the perioperative risk factors associated with bladder neck contracture after bipolar transurethral resection of the prostate. Methods The study included 391 patients who were admitted for bipolar transurethral resection of the prostate between October 2020 to October 2023 by three experienced surgeons. Forty three patients had bladder neck contracture and their perioperative parameters were compared with randomly chosen 172 patients without bladder neck contracture. Results There were no significant differences between the studied groups regarding the general and present history characteristics. Re-catheterization after transurethral resection of the prostate, post-operative recurrent urinary tract infection, resection speed, and associated urethral stricture were significantly higher among the bladder neck-contraction group ( P