Blasenhalskontraktur nach operativer Therapie der gutartigen Prostatahyperplasie

Zusammenfassung

Die Blasenhalskontraktur (bladder neck contracture – BNC) stellt eine gängige Komplikation nach chirurgischer Behandlung der benignen Prostatahyperplasie (BPH) dar, wobei die Inzidenzraten in Abhängigkeit von der angewandten Therapiemethode variieren. In der wissenschaftlichen Literatur werden zahlreiche Verfahren zur Behandlung der BNC beschrieben.
Bei der Erstmanifestation einer BNC wird primär eine endoskopische Therapie empfohlen. Im Falle eines Rezidivs hingegen stellt eine offene chirurgische Rekonstruktion, wie die YV- oder T-Plastik, eine bevorzugte Behandlungsoption dar. Zudem gewinnt die robotisch assistierte Chirurgie zunehmend an Bedeutung in der operativen Therapie der BNC.
Derzeit existiert jedoch kein standardisiertes Behandlungsprotokoll für diese Erkrankung. Dieses Review bietet einen systematischen Überblick über die BNC und die aktuellen therapeutischen Strategien.

Abstract

Bladder neck contracture (BNC) is a common complication following surgical treatment of benign prostatic hyperplasia (BPH), with incidence rates varying depending on the therapeutic approach. Numerous techniques for managing BNC have been described in the literature.
For the initial presentation of BNC, endoscopic treatment is generally recommended as the first-line therapy. In cases of recurrent BNC, however, open surgical reconstruction, such as YV or T-plasty, is considered the preferred treatment option. Additionally, robot-assisted surgery is increasingly being integrated into the surgical management of BNC.
Currently, no standardized treatment protocol exists for this condition. This review provides a systematic overview of bladder neck contracture and the current therapeutic strategies available.

Schlüsselwörter

benigne Prostatahyperplasie - Blasenhalskontraktur - Blasenhals - Laser - Endourologie

Keywords

benigne prostate hyperplasia - bladder neck contracture - bladder neck - laser - endourology

Publication History

Received: 20 March 2025

Accepted after revision: 18 June 2025

Article published online:
09 July 2025

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