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Bladder Neck Stenosis

A structural disorder leading to lower urinary tract symptoms due to obstruction at the bladder neck level.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Bladder Neck Stenosis?

Bladder neck contracture/stenosis is obstruction at the junction of the bladder and urethra resulting from fibrotic changes. In men, it develops after prior prostate surgery (TURP, radical prostatectomy), radiotherapy, or inflammation. In women, it is rarer and most often related to trauma or recurrent infection.

Detrusor overactivity, incomplete emptying, and upper urinary tract damage are late complications of bladder neck obstruction. Cystoscopy provides both diagnostic and therapeutic value.

Transurethral incision (TUIBN) is the primary treatment method; more extensive surgery may be required for refractory cases.

Symptoms

Weak and intermittent urinary stream
Difficulty initiating and prolonged urination
Sense of incomplete emptying and post-void residual
Recurrent urinary tract infections
Incontinence with obstruction after radical prostatectomy
Straining urination in women

Risk Factors

History of TURP or open prostatectomy
Radical prostatectomy (robotic or open)
Pelvic radiotherapy
Recurrent cystoscopy or urinary instrumentation
Recurrent bladder neck infection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Difficulty urinating after prostate surgery
  • Recurrent urinary infections and sense of incomplete bladder emptying
  • Low maximum flow rate on uroflowmetry (<10 mL/sec)
  • Increased post-void residual urine
  • Lower urinary symptoms together with renal dysfunction

Treatment Methods

01
Transurethral bladder neck incision (TUIBN): incision at 5-7 positions with cold knife or laser
02
Transurethral balloon dilation: temporary solution with higher recurrence risk
03
Endoscopic laser resection: in narrow circumscribed fibrotic tissue
04
Open or robotic bladder neck reconstruction: in refractory cases
05
Urinary diversion: in resistant cases together with bladder dysfunction
06
Regular urethroscopic follow-up and urinary flow measurement

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.