Bladder Neck Incision is a surgical procedure done to correct the flow of urine in men who have a decreased urinary stream and faces problems in passing urine because of a bladder neck stenosis or a urethral stricture.
It is treated with the help of an incision made in the bladder neck. Under Bladder Neck Incision, the surgeon will track any obstruction in the bladder neck, so as to remove it.
How does Bladder Neck Incision help?
Bladder Neck Incision is done to improve the flow of urine and to relieve urinary pressure in the bladder. The treatment proves to be really helpful when the non-surgical treatment does not improve the condition of the bladder.
Steps to take before Bladder Neck Incision:
There are different surgical approaches required for different types of inconveniences. The doctors at different hospitals, including their incontinence specialist, urologist and urogynecologist will make sure that the patient is ready and in good health to undergo the surgery. The patient might also be required to take several diagnostic testing before the surgery.
What happens during Bladder Neck Incision?
After giving general or local anesthesia to the patient, the incisions are made in the bladder neck. A telescope, Cystoscope or Resectoscope (a thin tube camera) is inserted, which makes its way to the bladder, through the urethra.
The attached camera helps the doctor to have a clear view of the obstruction in the bladder neck. The blockage is then removed with the help of a surgical cut, and a special instrument (used for extraction).
After Bladder Neck Incision
Immediately after the Bladder Neck Incision, the patient might experience a burning sensation in passing urine or traces of blood in the urine. Usually, antibiotics are prescribed by the doctor post-surgery to eliminate these problems. Self-catheterization may also be recommended by the doctor.
What are the benefit and risks of Bladder Neck Incision?
As with any surgery, the treatment has many benefits, but also comes with a few risks, which a person must be aware of.
The advantages of Bladder Neck Incision are:
- The surgery eases the pressure on the bladder.
- The surgery corrects the conditions such as difficulty in passing urine and urine leakage.
- It also addresses uneven urination problems such as frequent urination or less urination.
The risks associated with Bladder Neck Incision are:
Complications like infection, blood in urine, mild burning, pain, or damage to the urethra and bladder, due to the insertion of the medical instrument is likely.
There is a risk of rare symptoms such as serious injury to the urethra, permanent urinary inconsistencies, poor erection in men, and acute bleeding etc.
The limitations of Bladder Neck Incision are:
- Bladder Neck Incision does not necessarily address the exact cause of the blockage, and as a result is not a cure to the problem.
- If Bladder Neck Incision does not improve the condition, then a patient may require open surgery.
Which are the different tests that have to be performed before Bladder Neck Incision?
Some of the different tests that have to be performed before Bladder Neck Incision:
- Chest X-ray
- Blood Tests
- ECG (Electrocardiogram)