[Primary bladder neck obstruction in males].

Abstract:

OBJECTIVES:To report our experience on the diagnosis and treatment of this rare type of infravesical functional obstruction. METHODS:Over the last ten years we diagnosed and treated 32 males with this entity. We evaluate previous treatments and time to diagnosis. Clinical, radiological, endoscopic, and urodynamic features are evaluated, as well as results obtained with the administration of alpha-adrenergic blockers and endoscopic transurethral incision of the bladder neck. RESULTS:Patient age ranged from 26 to 48 years (Mean 38.2). All patients presented significant long-lasting lower urinary tract symptoms, having received various non-specific treatments. Uroflowmetry showed a peak of mean flow of 9.8 +/- 3.2 cc/s, being the voiding detrusor pressure 98 +/- 25 cm H2O, with significant post void residual volume in 21 patients (188 +/- 62 cc). Medical treatment with alpha-adrenergic blockers only achieved significant subjective improvement in four patients. Twenty one patients underwent unilateral endoscopic bladder neck incision, obtaining objective and subjective improvements all of them. CONCLUSIONS:Endoscopic bladder neck incision is the treatment of choice of this dysfunction, being imperative to inform the patient of the risk of retrograde ejaculation as a postoperative sequel, since this entity appears in young males, for whom fertility may be a priority.

journal_name

Arch Esp Urol

authors

Navalón Verdejo P,Pallás Costa Y,Juan Escudero J,Ordoño Domínguez F,Sánchez Ballester F,de la Torre Abril L,Monllor Peidro E,Fabuel Deltoro M,Cánovas Ivorra JA

doi

10.4321/s0004-06142006000300006

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

253-60

issue

3

eissn

0004-0614

issn

1576-8260

journal_volume

59

pub_type

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