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Extended Bladder Neck Incision for Outflow Obstruction in Male Patients
Author(s) -
DELAERE K. P. J.,
DEBRUYNE F. M. J.,
MOONEN W. A.
Publication year - 1983
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1983.tb06562.x
Subject(s) - medicine , neck of urinary bladder , retrograde ejaculation , surgery , urination , residual urine , urinary bladder neck obstruction , etiology , bladder outlet obstruction , urology , urinary bladder , urinary system , prostate , anatomy , cancer
Summary— Thirty‐two male patients with mechanical or functional bladder outlet obstruction were treated by bilateral endoscopic bladder neck incision. In three cases a repeat incision was necessary. Subjective cure or improvement was obtained in 81%. Objective evaluation, including uroflowmetry and residual urine measurements, showed a similar improvement. Bladder neck incision takes only a few minutes, is simple and less traumatic than transurethral resection. The aetiology of impaired micturition and the value of urodynamic assessment are discussed and some attention devoted to the problem of post‐operative retrograde ejaculation.