Editing AUA: Male Urethral Stricture (2016) (section)

== Bladder Neck Contracture/Vesicourethral Stenosis==
*'''Dilation, bladder neck incision or transurethral resection may be performed for bladder neck contracture after endoscopic prostate procedure. Repeat endoscopic treatment may be necessary for successful outcomes'''
*'''Dilation, vesicourethral incision, or transurethral resection may be performed for post-prostatectomy vesicourethral anastomotic stenosis.''' Patients should be made aware of the risk of incontinence after any of these procedures.
*'''For recalcitrant stenosis of the bladder neck or post-prostatectomy vesicourethral anastomotic stenosis, open reconstruction may be performed.'''
**The treatment of recalcitrant vesicourethral anastomotic stenosis must be tailored to the preferences of the patient, taking into consideration prior radiotherapy and the degree of urinary incontinence.
**For the patient who does not desire urethroplasty, repeat urethral dilation, incision or resection of the stenosis is appropriate. Intermittent self-dilation with a catheter may be used to prolong the time between operative interventions. Suprapubic diversion is an alternative.