{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T13:08:18Z","timestamp":1782306498790,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,12]],"date-time":"2025-01-12T00:00:00Z","timestamp":1736640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the surgical and patient\u2010reported outcomes of YV\u2010plasty in patients with refractory bladder neck stenosis (BNS) following transurethral prostate surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study reviewed five patients who underwent YV\u2010plasty for BNS between January 2021 and October 2023. The surgical procedure involved a midline lower abdominal incision to expose the bladder neck. A V\u2010shaped incision was made in the anterior bladder wall to create a bladder flap. The bladder neck was then incised from the apex of the V\u2010shape to the healthy urethra, forming a Y\u2010shaped incision. Fibrotic tissue was excised, and the posterior side of the urethra and bladder were anastomosed. The bladder flap was mobilized and sutured to the healthy urethra using 4\u20100 PDS interrupted sutures. Follow\u2010up assessments included uroflowmetry, postvoid residual urine volume measurement (PVR), and questionnaires on daily pad use and patient satisfaction. Success was defined as cystourethroscope passage through the anastomosis without resistance and no need for additional procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median patient age was 69. All patients had a history of failed endoscopic treatments. The median follow\u2010up was 13\u2009months, with all considered successful. The median postoperative maximum flow rate was 26.6\u2009mL\/s, and the median PVR was 12\u2009mL. Postoperatively, two (40%) were pad\u2010free, and three (60%) used 1\u20132 pads daily. Three (60%) patients were \u2018very satisfied,\u2019 one (20%) \u2018satisfied,\u2019 while one (20%) was \u2018dissatisfied.\u2019<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Y\u2010V\u2010plasty is an effective option for refractory BNS, improving urinary function and quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.15676","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T06:39:25Z","timestamp":1736750365000},"page":"434-440","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of Y\u2010V\u2010plasty for refractory bladder neck stenosis after transurethral prostate surgery"],"prefix":"10.1111","volume":"32","author":[{"given":"Hakaru","family":"Masumoto","sequence":"first","affiliation":[{"name":"Department of Urology National Defense Medical College  Saitama 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