scholarly journals Transurethral Incision of the Bladder Neck in a Woman with Primary Bladder Neck Obstruction after Kidney Transplantation

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Dean Markić ◽  
Maksim Valenčić ◽  
Anton Maričić ◽  
Kristian Krpina ◽  
Dražen Rahelić ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Bladder Neck ◽  
Bladder Outlet Obstruction ◽  
Voiding Dysfunction ◽  
Outlet Obstruction ◽  
Postvoid Residual Urine ◽  
Bladder Neck Obstruction ◽  
Primary Bladder ◽  
Primary Bladder Neck Obstruction ◽  
Transurethral Incision

Voiding dysfunction is frequently seen in the early posttransplant period. Among other causes, this condition can arise due to bladder outlet obstruction. Primary bladder neck obstruction (PBNO) is a possible but very rare cause of bladder outlet obstruction. We present the case of a 52-year-old woman who, after kidney transplantation, presented with PBNO. The diagnosis was established based on symptoms, uroflowmetry, and multichannel urodynamics with electromyography. The transurethral incision of the bladder neck was made at the 5- and 7-o’clock position. After the operation, the maximal flow rate was significantly increased, and postvoid residual urine was decreased compared to the preoperative findings. The patient was followed for 5 years, and her voiding improvement is persistent. This is the first reported case of PBNO treated with a transurethral incision of the bladder neck in a posttransplantation female patient.

scholarly journals Use of transvaginal ultrasound in females with primary bladder neck obstruction. A preliminary study

2015 ◽  
Vol 87 (2) ◽  
pp. 158 ◽  
Author(s):  
Vikiela Galica ◽  
Elona Toska ◽  
Pietro Saldutto ◽  
Giuseppe Paradiso Galatioto ◽  
Carlo Vicentini
Keyword(s):  
Bladder Neck ◽  
Transvaginal Ultrasound ◽  
Outlet Obstruction ◽  
Pelvic Organ ◽  
Vaginal Mucosa ◽  
Urinary Tract Symptoms ◽  
Before And After ◽  
Bladder Neck Obstruction ◽  
Primary Bladder ◽  
Primary Bladder Neck Obstruction

Introduction and aim: The video-urodynamics study is the principal exam to establish a possible primary bladder neck obstruction (PBNO) condition. While trans-rectal ultrasonography plays an important role in the evaluation of the low urinary tract symptoms (LUTS) and the severity of bladder outlet obstruction (BOO) in men, the use of the transvaginal ultrasound (TVUS) in women with symptoms suggesting BOO remains unclear. We tried to check the utility of the TVUS in women with PBNO condition. Material and methods: We selected female patients which presented BOO without pelvic organ prolapse (POP). According to the data of the video-urodynamic exam we selected the patients with the suspicion of PBNO. A TVUS in basal and during micturition was performed before and after surgery. Results: TVUS showed a closed bladder neck bladder in basal condition and during micturition similarly to the fluoroscopic image during video-urodynamics. The mean distance from bladder neck to the vaginal mucosa resulted 1.3 cm in this patients. Conclusions: TVUS results worthy in the evaluation of patients with PBNO before and after surgery.

Urodynamic Differences Between Dysfunctional Voiding and Primary Bladder Neck Obstruction in Women

Urology ◽  
2012 ◽  
Vol 80 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Benjamin M. Brucker ◽  
Eva Fong ◽  
Sagar Shah ◽  
Christopher Kelly ◽  
Nirit Rosenblum ◽  
...  
Keyword(s):  
Bladder Neck ◽  
Dysfunctional Voiding ◽  
Bladder Neck Obstruction ◽  
Primary Bladder ◽  
Primary Bladder Neck Obstruction
Sign in / Sign up

Export Citation Format

Share Document