Iatrogenic or recurrent bladder neck contracture treated by the Palminteri–Ferrari technique: a new way to approach a frustrating condition

Bladder neck stricture (BNS) is a bothersome disease which may affect patients after trauma or prostatic surgery. It is frustrating due to the low durable success rate of currently available surgical techniques. The aim of the study is to explore the efficacy of a novel technique. The surgical protocol was developed by two high case-volume surgeons. The technique consists of Holmium laser incisions at 3–6-9–12 o’clock. Subsequently, triamcinolone acetonide 40 mg is injected. Two months later, the BNS is endoscopically checked in operatory room and re-procedure take place, if necessary (max 3 times). Failure was defined as the need of definitive urinary diversion. Subjective satisfaction was measured through PGI-I Questionnaire. A total of 45 patients were enrolled. Median age was 63 (IQR 59–69) years and BNS developed by different causes. Naïve BNS procedure patients were 12 (26.7