Re: Impact of asymptomatic prostatitis on re-operations due to urethral stricture or bladder neck contracture developed after TUR-P

摘要

This interesting, hypothesis generating article examines factors affecting development of urethral stricture or bladder neck contracture after TUR-P. This retrospective review evaluated almost 1,000 patients who underwent surgery, of whom approximately 25% were reeval-uated histologically for the presence of inflammation in the TUR-P specimens. Of these patients about 25% had what was defined as prostatic inflammation. Interestingly this finding was associated with increased rates of bladder neck contracture/urethral stricture disease postoperatively. I always thought of bladder neck contractures after transurethral prostate procedures as being associated with prostate volume. In this study volume did not have a significant role, and rather operative time (more than 60 minutes) and prostatic inflammation impacted the development of urethral stricture/bladder neck contracture.