TREATMENT OF RECURRENT ANASTOMOTIC STRICT URES COMBINED WITH TOTAL URINARY-INCONTINENCE FOLLOWING RADICAL RETROPUBIC PROSTATECTOMY

A novel two-step treatment strategy for recurrent anastomotic strictur es and total urinary incontinence following radical retropubic prostat ectomy is reported for two cases. The first step consisted of insertio n a self-expanding urethral endoprosthesis (Urolume(R)) over the steno tic bladder neck. The latter had been resected previously in the same session. As a second step, an artificial urinary sphincter (AMS-800(R) ) was inserted at the bulbous urethra. Both patients are fully contine nt to date, and can empty their bladders completely. The advantages of this treatment strategy for the patients outcome are discussed.