Bladder Neck Obstruction Surgery
Bladder Neck Obstruction Surgery is an operation for the treatment of an obstruction or blockage of the urethra.
In women, this is usually related to a previous bladder suspension which may have been done at the same time as a hysterectomy. In men, it is usually caused by an enlarged prostate or urethral stricture disease.
Nervous system disorders can also cause obstructive uropathy. This occurs when the nerves responsible for bladder control don’t function properly.
Bladder neck obstruction inhibits the flow of urine out of the bladder. The bladder may respond by becoming overactive, resulting in symptoms of urinary urgency or urge incontinence. It is a sudden compelling desire to pass urine that is difficult to postpone or ignore, and may be associated with a fear of leakage or actual bladder leakage.
Suffering from bladder neck obstruction may also result in poor bladder emptying, a poor urinary system, straining to pass urine, hesitancy, a feeling of incomplete emptying and needing to double void. The bladder may fail to empty completely – a consequence of this being bladder infections.
Urethrolysis is a procedure done via a vaginal incision. The urethra is freed up from the surrounding scarred tissues that are trapping it and holding it in an over-elevated position. The procedure is rather quick and cures the obstruction in most female patients without the return of incontinence. In men, TURP or transurethral resection of the prostate may be necessary. Urethral Stricture Disease can be addressed with visual urethrotomy. Both of these procedures are done through a scope.
If you are experiencing any symptoms associated with bladder neck obstruction we can help.