Necessity of routine histopathological evaluation subsequent to bladder neck contracture resection

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dc.contributor.authorKaynar, Mehmet
dc.contributor.authorGul, Murat
dc.contributor.authorKucur, Mustafa
dc.contributor.authorCelik, Esin
dc.contributor.authorBugday, M. Serdar
dc.contributor.authorGoktas, Serdar
dc.date.accessioned2020-03-26T19:25:16Z
dc.date.available2020-03-26T19:25:16Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIntroduction Bladder neck contracture is a well-known complication following some urologic surgical procedures. Regardless of the surgical procedure, any specimen resected should be submitted for histopathological evaluation worldwide. However, the charges of histopathological evaluation may bring a heavy burden to the hospital and health care system. Also, waiting the period of the pathological evaluation process can be an anxious time for patients. Hence, we aimed to investigate the necessity of routine histopathological evaluation of bladder neck contracture bladder neck contraction specimens. Material and methods Patients undergoing bladder neck contraction resection, from 2010 to 2015 were identified. Patient demographics, type of surgery and histopathological diagnosis and cost of histopathological analyses of the specimens were recorded and analyzed. Results Findings of the histopathologic evaluations of 340 bladder neck specimens were reviewed. Out of these, 294 had underwent transurethral resection of the prostate, 38 open prostatectomy, and 8 radical prostatectomy. Evidence of malignant disease involving prostate cancer was present in only 2 specimens. Both of the specimens had a known preexisting history of malignant disease. The remaining 338 specimens showed chronic inflammation (n = 176), chronic active inflammation (n = 64), adenomatous hyperplasia (n = 78) or cystitis (n = 20). Conclusions Our results indicate that routine histopathological examination of bladder neck contraction specimens is clinically unnecessary. We recommend that the surgeon should decide the need for histological examination on individual basis, depending on known preoperative risk factors.en_US
dc.identifier.doi10.5173/ceju.2016.874en_US
dc.identifier.endpage357en_US
dc.identifier.issn2080-4806en_US
dc.identifier.issn2080-4873en_US
dc.identifier.issue4en_US
dc.identifier.pmid28127450en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage353en_US
dc.identifier.urihttps://dx.doi.org/10.5173/ceju.2016.874
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33816
dc.identifier.volume69en_US
dc.identifier.wosWOS:000392860500007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherPOLISH UROLOGICAL ASSOCen_US
dc.relation.ispartofCentral European Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectbladder neck contractureen_US
dc.subjectfibrosisen_US
dc.subjectroutine histopathologyen_US
dc.titleNecessity of routine histopathological evaluation subsequent to bladder neck contracture resectionen_US
dc.typeArticleen_US

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