ENDOSCOPIC EVALUATION AND TREATMENT OF ANASTOMOTIC STRICTURES AFTER RADICAL RETROPUBIC PROSTATECTOMY

Purpose: We describe endoscopic findings and treatment outcome in 17 m en who presented with a symptomatic anastomotic stricture after radica l prostatectomy.Materials and Methods: Endoscopic evaluation revealed an immature stricture in 6 men, which was treated by initial dilation and subsequent cold-knife urethrotomy. The 11 men with a mature anasto motic stricture were treated by initial cold-knife urethrotomy (10) or dilation followed by urethrotomy (1). Results: There were no long-ter m complications from treatment, which was successful in 15 of the 17 m en (88%). Conclusions: Initial dilation with subsequent urethrotomy fo r immature or initial urethrotomy for mature anastomotic strictures is a safe and effective treatment plan.