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

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 wom...

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Bibliographic Details
Published in:Case reports in transplantation 2015-01, Vol.2015 (2015), p.1-4
Main Authors: Rački, Sanjin, Orlić, Lidija, Ahel, Juraj, Rahelić, Dražen, Krpina, Kristian, Maričić, Anton, Valenčić, Maksim, Markić, Dean, Rubinić, Nino
Format: Article
Language:English
Subjects:
Bladder
Case Report
Catheters
Endoscopy
Hemodialysis
Older people
Patients
Transplants & implants
Urinary incontinence
Urine
Urogenital system
Urology
Womens health
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Summary: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.
ISSN:2090-6943
2090-6951
DOI:10.1155/2015/312084