[Mitomycin in the complex treatment of strictures of vesicourethral anastomosis after radical prostatectomy]

Urologiia. 2014 Sep-Oct:(5):77-80.
[Article in Russian]

Abstract

The study involved 189 patients aged 40 to 80 years, which underwent retropubic radical prostatectomy for localized prostate cancer in the period from 2009 to 2013. 26 (13.8%) patients required repeated surgery due to the deterioration of urination. In primary detection or recurrent nature of the cicatrical process in vesico-urethral anastomosis, in places of dissection by urethrotomic knife (or transurethral resection), surgery was complemented by submucosal injection of mitomycin, previously diluted in saline to a concentration of not more than 0.2 mg/ml. Effectiveness of additional interstitial administration of mitomycin in primary application was 85%. Systemic infusion reactions have not been reported, that allows to consider this method as safe method for prevention of cicatricial complications.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anastomosis, Surgical / adverse effects
  • Constriction, Pathologic / drug therapy
  • Constriction, Pathologic / etiology
  • Humans
  • Male
  • Middle Aged
  • Mitomycin / administration & dosage
  • Mitomycin / therapeutic use*
  • Prostatectomy / adverse effects*
  • Treatment Outcome
  • Urethral Stricture / drug therapy*
  • Urethral Stricture / etiology*
  • Urination / drug effects*

Substances

  • Mitomycin