ABSTRACT

Introduction A patient with newly diagnosed bladder or prostate cancer faces not only psychological stress and the prospect of major surgery he also has to learn to live with either a continence mechanism with which he is not familiar or, where an orthotopic bladder replacement is necessary, he has to learn how to void spontaneously with the neobladder. In addition, one in five of these patients will also suffer from voiding disturbances arising from strictures developing at the anastomosis site, between the bladder/neobladder and urethra. An incidence of 0.8-20% of urethrovesical anastomotic stenoses after radical prostatectomy1-3 and of 2-30% of urethro-neobladder anastomotic stenoses after radical cystoprostatectomy have been reported.4-8