A review of management options for vesicourethral anastomotic stenosis and the emergence of robotic reconstruction.

ABSTRACT: Vesicourethral anastomotic stenosis (VUAS), a sequela of radical prostatectomy, is among the most complex conditions managed by reconstructive urologists. As a distinct entity from bladder neck contracture, VUAS can be managed endoscopically or with reconstruction. There is a paucity of higher-level evidence and head-to-head comparisons between VUAS management options. Interpretation of existing studies is further complicated by variations in diagnostic staging of VUAS, definitions of recurrent VUAS, and criteria for post-procedural success. Multiple endoscopic approaches are available including dilation, transurethral incision, transurethral resection, intralesional injections, and endoscopic urethroplasty. Classically, reconstruction for VUAS is offered after a single failed attempt at e

SUBMITTER: Naser-Tavakolian A 

PROVIDER: S-EPMC12433180 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature