Abstract
Purpose: We reviewed the urodynamic findings and treatment outcomes of a large series of men with primary bladder neck obstruction. Materials and Methods: A retrospective review was done of the presenting symptoms and urodynamic findings of 36 men with primary bladder neck obstruction. Outcomes after treatment with α-blockers, transurethral incision of the bladder neck and prostate, or no long-term therapy were determined by chart review and patient survey in the majority of cases. Results: Mean age of the men was 41 years. Patients had significant lower urinary tract symptoms, decreased peak urinary flow rates, elevated post-void residual, markedly elevated peak voiding pressures and poor funneling of the bladder neck during voiding. Although most patients initially chose α-blocker therapy, only 30% of those beginning α-blockers continued them long term, usually due to inadequate symptomatic improvement. A total of 18 men underwent transurethral incision, which resulted in significant improvements in symptom scores, peak urinary flow rates, post-void residual and peak voiding pressures. Patients reported a mean 87% overall improvement in symptoms after transurethral incision. Conclusions: Video urodynamics facilitate diagnosis of primary bladder neck obstruction. Transurethral incision is the most effective therapy for primary bladder neck obstruction.
Original language | English (US) |
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Pages (from-to) | 1418-1420 |
Number of pages | 3 |
Journal | Journal of Urology |
Volume | 156 |
Issue number | 4 |
DOIs | |
State | Published - 1996 |
Keywords
- bladder diseases
- bladder neck obstruction
- urodynamics
ASJC Scopus subject areas
- Urology