{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:16:33Z","timestamp":1768342593985,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Advances in Urology"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p><jats:italic>Introduction.<\/jats:italic>The recurrence of urethral\/bladder neck stricture after multiple endoscopic procedures is a rare complication that can follow prostatic surgery and its treatment is still controversial.<jats:italic>Material and Methods.<\/jats:italic>We retrospectively analyzed our data on 17 patients, operated between September 2001 and January 2010, who presented severe urinary incontinence and urethral\/bladder neck stricture after prostatic surgery and failure of at least four conservative endoscopic treatments. Six patients underwent a transperineal urethrovesical anastomosis and 11 patients a combined transperineal suprapubical (endoscopic) urethrovesical anastomosis. After six months the patients that presented complete incontinence and no urethral stricture underwent the implantation of an artificial urethral sphincter (AUS).<jats:italic>Results.<\/jats:italic>After six months 16 patients were completely incontinent and presented a patent, stable lumen, so that they underwent an AUS implantation. With a mean followup of 50.5 months, 14 patients are perfectly continent with no postvoid residual urine.<jats:italic>Conclusions.<\/jats:italic>Two-stage procedures are safe techniques to treat these challenging cases. In our opinion, these cases could be managed with a transperineal approach in patients who present a perfect operative field; on the contrary, in more difficult cases, it would be preferable to use the other technique, with a combined transperineal suprapubical access, to perform a pull-through procedure.<\/jats:p>","DOI":"10.1155\/2012\/481943","type":"journal-article","created":{"date-parts":[[2012,4,25]],"date-time":"2012-04-25T00:16:07Z","timestamp":1335312967000},"page":"1-6","source":"Crossref","is-referenced-by-count":6,"title":["Comparison between Two Different Two-Stage Transperineal Approaches to Treat Urethral Strictures or Bladder Neck Contracture Associated with Severe Urinary Incontinence that Occurred after Pelvic Surgery: Report of Our Experience"],"prefix":"10.1155","volume":"2012","author":[{"given":"A.","family":"Simonato","sequence":"first","affiliation":[{"name":"Clinica Urologica \u201cL. Giuliani\u201d, DISC, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ennas","sequence":"additional","affiliation":[{"name":"Clinica Urologica \u201cL. Giuliani\u201d, DISC, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Benelli","sequence":"additional","affiliation":[{"name":"Clinica Urologica \u201cL. Giuliani\u201d, DISC, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Gregori","sequence":"additional","affiliation":[{"name":"Department of Urology, Ospedale \u201cL. Sacco\u201d, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Oneto","sequence":"additional","affiliation":[{"name":"Clinica Urologica \u201cL. 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