Primary bladder neck obstruction

Urodynamic findings and treatment results in 36 men

B. A. Trockman, J. Gerspach, R. Dmochowski, F. Haab, P. E. Zimmern, G. E. Leach

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Purpose: We reviewed the urodynamic findings and treatment outcomes of a large series of men with primary bladder neck obstruction. Materials and Methods: A retrospective review was done of the presenting symptoms and urodynamic findings of 36 men with primary bladder neck obstruction. Outcomes after treatment with α-blockers, transurethral incision of the bladder neck and prostate, or no long-term therapy were determined by chart review and patient survey in the majority of cases. Results: Mean age of the men was 41 years. Patients had significant lower urinary tract symptoms, decreased peak urinary flow rates, elevated post-void residual, markedly elevated peak voiding pressures and poor funneling of the bladder neck during voiding. Although most patients initially chose α-blocker therapy, only 30% of those beginning α-blockers continued them long term, usually due to inadequate symptomatic improvement. A total of 18 men underwent transurethral incision, which resulted in significant improvements in symptom scores, peak urinary flow rates, post-void residual and peak voiding pressures. Patients reported a mean 87% overall improvement in symptoms after transurethral incision. Conclusions: Video urodynamics facilitate diagnosis of primary bladder neck obstruction. Transurethral incision is the most effective therapy for primary bladder neck obstruction.

Original languageEnglish (US)
Pages (from-to)1418-1420
Number of pages3
JournalJournal of Urology
Volume156
Issue number4
StatePublished - 1996

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Urinary Bladder Neck Obstruction
Urodynamics
Urinary Bladder
Pressure
Lower Urinary Tract Symptoms
Therapeutics
Prostate

Keywords

  • bladder diseases
  • bladder neck obstruction
  • urodynamics

ASJC Scopus subject areas

  • Urology

Cite this

Trockman, B. A., Gerspach, J., Dmochowski, R., Haab, F., Zimmern, P. E., & Leach, G. E. (1996). Primary bladder neck obstruction: Urodynamic findings and treatment results in 36 men. Journal of Urology, 156(4), 1418-1420.

Primary bladder neck obstruction : Urodynamic findings and treatment results in 36 men. / Trockman, B. A.; Gerspach, J.; Dmochowski, R.; Haab, F.; Zimmern, P. E.; Leach, G. E.

In: Journal of Urology, Vol. 156, No. 4, 1996, p. 1418-1420.

Research output: Contribution to journalArticle

Trockman, BA, Gerspach, J, Dmochowski, R, Haab, F, Zimmern, PE & Leach, GE 1996, 'Primary bladder neck obstruction: Urodynamic findings and treatment results in 36 men', Journal of Urology, vol. 156, no. 4, pp. 1418-1420.
Trockman BA, Gerspach J, Dmochowski R, Haab F, Zimmern PE, Leach GE. Primary bladder neck obstruction: Urodynamic findings and treatment results in 36 men. Journal of Urology. 1996;156(4):1418-1420.
Trockman, B. A. ; Gerspach, J. ; Dmochowski, R. ; Haab, F. ; Zimmern, P. E. ; Leach, G. E. / Primary bladder neck obstruction : Urodynamic findings and treatment results in 36 men. In: Journal of Urology. 1996 ; Vol. 156, No. 4. pp. 1418-1420.
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